HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED \ ,
Date: I I l SCANNED Permit Number:
St. Luce Count RECEIVE
Building Permit Application DEC 10 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial YES Residential
PERMIT APPLICATION FOR: Fence
Address: FORT PIERCE SERVICE PLAZA MILE POST 144
Legal Description: ]I U 40 FROM BE COR OF SEC RUN 895901 W7193RVO PoBANC TO A CURVE CONC NE ROF]639YFTTI FlY .MC..?) I TI N 13. JI W1.2 R I TO N LI OF SEC, TH SN M59W 5W FT
tt191YCOR,TI5B9E9N1 EI¢OR Wt RIRbI£99T41}Vgq} OFEEC.,E➢ONTHE59V 9 E,SF9 WITHEWOVWYOF9E IYAW WIIOFNE INOFBEC M'OOXMEE9V 1NEWImgMll Of RORIMNMPIXEI
Property Tax ID #: 3431-122-0001-000-5
Site Plan Name: TURNPIKE SERVICE PLAZA
Project Name: FUEL LOADING ZONE FENCE ENCLOSURE
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
Lot No. N/A
Block No. N/A
FURNISH AND INSTALL 238LF OF 4' HIGH BLACK VINYL CHAIN LINK WITH 1 EA. 4X12
DOUBLE DRIVE GATE AND 1 EA 4X4 SINGLE SWING GATE
HVAC LJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 13500
permit —checka tnaPPy::'
Gas Piping Shutters
Sprinklers Generator
S Ft. of First Floor: _
utilities Sewer ESeptic
Windows/Doors
Roof
Building Height:
OWNER%LESSEE: - 1
,CONTRACTOR:
Name STATE OF FLORIDA TURNPIKE AUTHORITY
Name: ROBERT GREENE
Address:1211 GOVERNORS SQ BLVD STE 100
Company: MARTIN FENCE CO
City: TALLAHASSEE State: FL
Zip Code: 32301 Fax:
Phone No. 9549341279
Address: 86213TH ST
City: LAKE PARK State: FL
Zip Code: 33403 Fax: 5618484466
Phone No. 5618482688
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: MFENCE@MARTINFENCE.COM
State or County License:
Lr value or conscrucaon is >[suu or more, a RECORDED Notice of Commencement is required. 11 1
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
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
3WNER: Your failure to Record a Notice of commence ay sult in your paying twice for
to ur property. A Notice of Commencement m rec ed and posted on the jobsite
ection. If you intend to obtain financing, co wit nder or an attorney before
k or recordine vour Notice of Commencem / /1
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA, STATE OF FLOR pp
COUNTY OF e-CV n � 0Y COUNTY OF Ca�un be-"
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 4 day of inet / 20N&Lby thisCL-dayof 0eL 20 Eby
'ku6e� ` ROBERT GREENE C
(Name of person acknowledging) (Name of person acknowledging
429 Act u/-"'
(Sig&fure of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known 1/' O P ersonally Known �� OR Produced Identification
Type of Identification Produc""••r.. MARI(BAILOW ype of Identification Pro
In MYOOMMI 4'2 .•,,,,,,..
. ES: FB17Nay 24, 2018 MM((((&VLOW
Commission No. b� $* M E MYt(LS'h18 IONAFFOVM
•,PupOq mmission No.
etg EXPIRES: Febma%24, 2018
Bailed ThNNotary PubYcUdeiwaen
Revised 07/15/2014
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