HomeMy WebLinkAboutSPECIALTY PERMIT APPLICATION - FENCE--���- ••• a a cowl M I t
St. Lucie County Building & ._.. Wing
2300 Virginia Avenue Ft. Pierce, FL 34982-5652
< RtOP Tel.561-462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC 41Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: v1 ®jam s /jZ, ��"e�� A (� � D-etc c-e
2. Parcel ID Number: a
Office Use
Only
Section
Tow ship
Range
I Map Pa a
Zonis
Land Use
Initials
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3. Description -of Project or Work Activity:
.2J
4. Owners Information p r '5. Contractors Information , r�
Name: - ,��22/2L �'. V �}'?� IG/)lf} SC// FL Reg/Cert #: 1
Address: "r Too Z4-4 V CountyCert#:
City: State:. Business Name:
Zip: ���2 Phone:�%%�i�ylkone Fax
6. Value of Construction: $/
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work Will be done
in compliance with all applicable laws regulating construction and zoning.
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PRINT QUALIFIERS/OWNERS NAME
Qn _ S
91
SIGNATUREUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF 'j-i l�l,l 0 t ACKNOWLEDGED BEFORE ME THIS $_DAY OF
V. 20QrjBY P0J-Yl ('i a ,C, -b LLLf (WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
F L r i V ASIPENTIFICATION.
-SIGNATURE OFNO'FARY TYPE OR PRINT NAM OF NOTARY -
TITLE: NOTARY PUBLIC COMMISSION NUMBER �^ DORIS J. PELTON
FUDA
OnOM�MISSION # 08593
E%PIREs 1oil S12006
BMEDTMRU 7A0&NOTARY1
St. Lucie County Specials• Permit Application rev. 7/18/05 dmg
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 1N YUUA rA1'114U 1 Wtldb rLJA
IMPROVEM]f_ TO YOUR PROPERTY. IF YOV INTEND TC ` ,7AIN FINANCING, CONSULT WITH YOUR
LENDER ORi. ., tTTORNEY BEFORE RECORDING YOCR N(% �E OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000.
INSTRUCTIONS
Please complete all information in.the space provided. All information must be printed (use black or blue ink
only) or typed. This permit application is to be used only for those activities that are not otherwise included
under a primary building permit. This application may not be used for any activity that includes structural
alteration. The information to be provided with this application includes:
1. Location/Site Address Indicate the street address or general location of the
property where the building activity is taking place.
2. Parcel ID -Number Indicate the tax identification number of the property
where the building activity is taking place.
3. Description of Project or Work Activity Fully describe the activity to take place.
4. Owner Information Indicate the name, and address'of the owner.of the property
on which activity is taking place.
5. Contractor Information . Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license number and
the name of the business doing the work.
6. Value of Construction . Indicate the total value of the work.to take place. Total cost
of consitvction includes -all current.retail material and labor
costs associated with the building/construction activity:'
Construction value; is used.to determine,the'pertnit fee. St.
Lucie County reserves the right to question and/or modify
the indicated -value of construction if it is demonstrated that
the submitted figures are not consistent with similar types
of construction.
❑ Gas Attach 2 piping schematics with tank size, location, and BTU of each appliance
t
❑ Shed:..:. Attach 2 plot plans, 2 copies of DCA letter.. and plans, 2 anchor specifications
ence Attach 2 plot plans showing location of fence height of fence andtype of fence
❑ Siding Attach 2 copies of manufactures specifications
❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2. sets of,duct layouts for
new system or full replacement
This application can be submitted to St. Lucie Counn Building and Zoning, 2300 Virginia Avenue, Fort Pierce,
FL 34982. All permit applications must be filled out completely before submission. No applications will be
accepted.for)processing after 4:30 P.M. For assistance in completing this application, please call (772)
462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday.
Upon issuance of this pen -nit, required inspections can be.scheduled by calling (772) 462-1261.
St. Lucie County Specialty Permit Application rev. 7118105 dme