HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -
Date: �1�1 `L Pi GANNED Permit Number:
Fn
VED
2018
Building Permit ApplicatiPlanning and Development Services y, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence
['PROPO§E`b1JIVI,PR,OVEMENT LOCATION .
Address: 8557 Cobblestone Drive, Fort P
Legal Description: Creekside Plat No. 1
Property Tax ID #: 2326-600-0096-000-8
Site Plan Name: 1
i
Project Name: Bowden Residence f
Setbacks Front 82' Back!
'FL 34982
55-12) Lot 91 (Or 4023-269
0 Right Side: 2.76' Left Side: 2.70'
4' High Aluminu,m Pool Fence- Mechanical; 167' Linear Feet w/ 2 Gates
Additional work to be nertormed under tnis permit— c
❑HVAC L_J Gas Tank ❑Gas Piping
❑Electric ❑ Plumbing ❑Sprinklers
Total Sq. Ft of Construction: 167' L.F.
Cost of Construction: $ 3,873.00 Ut
UWIVtKJLtJStt f
Name Norris -Bowden, Jane
Address: PO Box 3242
City. Fort Pierce, State: FL
Zip Code: 34948 Fax: N/A
Phone No. (772) 878-7752
E-Mail: N/A
Fill in fee simple Title, Holder on next page ( if different
from the Owner listed above)
neck all apply:
_ Shutters
❑ Generator
S Ft. of First Floor:
ilities: Sewer ❑ Septic
Lot No. 91
Block No.
QWindows/Doors
❑ Roof Roof pitch
Building Height: 4'
Name: Jason D. Prince
Company: Prince Development Group, Inc.
Address: 3608 E. Industrial Way,
City: West Palm Beach, State: FL
Zip Code: 33404 Fax: (561) 855-4821
Phone No. (561) 840-3300
E-Mail: PRINCEDEVELOPMENTGROUP@GMAIL.COM
State or County License: CBC-1256464
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:-
_ Not_Applicable
MORTGAGE COMPANY• -
Nof Applicable.
Name:
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Name:
Address:
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Address:
City
State:
City:
State:
Zip:. Phone
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Zip:
Phone.
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:.
Not Applicable
Name:..
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Marne•
Address.
Address:
City:
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City
Zip: Phone•
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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. Lucle County makes no representation that is granting a permit will authorize the permit holder to.build the subject structure
which is in conflict with any applicable Home Owners. Association rules, bylaws or and covenants that may restrict or prohibit such
structure.. Please consult with your Home Owners 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, wails, 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 your paying twice for
improvements to your property: A Notice of Commencement must be recorded and posted on the jobsite .
before the first inspection: if you intend to obtain financing, consult with lender or. an attorney before
commencin -work or recordin ourNotice of Commencement
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Rev.8/2/17
Not
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Sj n tune of Owner/ Lessee/Contractor as Agent for Owner
Sign furs. ractor/License Holder
S TE.OF.FLORIDA � 11
COUNTY OF
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COUNTY OF � • i�0.G�1
The forgoing. i t nt was cknowledged before me.
t 's day of
The for tng instrum nt wa acknowledged before me
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this ay of 20� by
,,Jr�st�n 'P(1'1C:e,, -
Name of person making statement
Name of persoyt making statement .
Personally Known- OR:Produced Identification
Personally. Known 16 OR Produced Identification
Type Ids ' 'cation
Type of Id 'if` tion
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{Signature of Notary
(Signs u tc- a of Florida)
Commis ora�Vdi. FARA D HE t� DE;Z
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