HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-10-2022 Permit Number:
SM. LUCE RECEIVED
Building Permit Application FEB 16 2022
St.,Lucie County
Planning and Development Services Permitting
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Fence
PROPOSED
WRPYE 'TJLOCATION '
Address: `-3f3 u3 T6L^C14 Q b e-
Property Tax ID #- 3402-610-0179-000-1 Lot No. 34
Site Plan Name: Block No. 76
Project Name:
P-T,
"l ;'Q OR DETAILED
M
CT,
Install appx. 72 linear ft. of 4ft tall galvanized chain link fence sysYtern
I gate @,5ft wide and 1 gate @ 4ft wide
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION-LINFORMATION
Additional work to be performed under this permit— check all that apply:
—Mechanical —Gas Tank —Gas Piping Shutters
— Electric . Plumbing —Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
1968.51
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE
CONTRACTOR
Name -r&-WY"'J
Name: 5kV^-k1JL Pa'AA
Address: 505 ;w Qejo be
Company:
City: State: l
Address: '7c>C>Zl5T Uaqv
Zip Code: 34,q Fax:
city: 1J e-%ro gec'4' State:
Phone No. 210 1:)- -17l!S-10 E-
Zip Code: 32569 Fax:
Mail:
Phone No 'I'll-S7"-12123
Fill in fee simple Title Holder on next page (if different
E-Mail
State or County License 3120l
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTEiUCT[ON LIEN LAWINFORMATION1r # h,
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_NotApplicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are'exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording vour Notice of Commencement.
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF S-� - e\ -2,
Sworn do (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this 10'�— day ofe�rc� f T ,20o•by
Name of person making statement.
Personally Known OR Produced Identification
Type of dentificati oduc d
(Signature of Notary Public- State of Florida)
Commission No. Fl a Oa —A l0-1 (Seal) tate of Florida
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n HH 029107024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev 1U/11/Z1