HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie Count
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Fence
Legal
OCEAN DRIVE JENSEN BEACH 34957
DESCRIPTION ATTACHED
Property Tax ID #: 4502.5 -000-1
Site Plan Name: NETTLES ISLAND INC.
Project Name: FENCE
Setbacks Front Back:
INSTALL 12676 PVC FENCE
❑HVAC IJ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2350.00
Lot No. 122
Block No.
Right Side: Left Side:
i-Q e Slj�rSG_t.Slc
JeIT] u—urccR au apply:
Sas Piping _Shutters Q Windows/Doors
Sprinklers I� Generator O Roof
S Ft. of First Floor: _
Utilities:"n Sewer D Septic
Building Height:
CONTRACTOR.
Name NETTLES ISLAND INC.
Name: CHESTER RICHMOND
Address: 9801 S OCEAN DRIVE
Company: STUART FENCE COMPANY
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: XXXX
Phone No. XXXX
Address: PO BOX2636
City: STUART State: FL
Zip Code: 34995 Fax: 772-288-3035
Phone No. 772-288-1151
E-Mail: XXXX
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: STUARTFENCE@BELLSOUTH.NET
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ No Applicable
Name:
Address:
City:
Zip: Phone:
COMPANY:
Name:
Address:
City:
Zip:
Not Applicable
BONDING COMP NY: \ Not Applicable
Name:
Address:
City:
Zip: Phone:
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 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, 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 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
commencing work or recording vour Notice of Commencement.
!�q a rt-,e.CAan +i o L VP
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this :, day of 20 Ltby
(Name of person acknowledging )
(Signature of N tary Public- State of Florida P)
Personally Known c� ORProducedIdentification -
Type of Identification Produced
Commission No4--r— lal fl� (Seal)
�°`�".:: �a TINA MARIE BO,R
STATE OF FLORIDA
COUNTY OF IY�;.I -41il
The forgoing instrument was acknowledged�.efore me
this 2D day of ams -F 20 _ by
aN)z -'Ier V'�-ev)
(Name of person nowledging )
JJ 111 -- 0
(Signature of Notary P bjic- State of Florida )
Personally Known - OR Produced Identification_
Type of Identification Produced
Commission No.. �a,i l ;"• .'Leco (Se%,,,'EBC'r
*IN A * MY COMMISSION tFFtozu.
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