HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONl
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 31, 2017 SCANNED Permit Number:
BY
�y r" St. Lucie RECEIVED
County
Building Permit Application OCT 31 2017
Planning and Development Services PERMITTING
and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Fence III
Address: 14195 Range Line Road Port St. Lucie, FI 34956
Legal Description: Section 33,28,21 Township 37 South, Range 38 East
PropertyTax ID #: 422131200400001
Site Plan Name:
Project Name: Loggerhead Solar Site
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Install 24,000 I/f of 6' high fence with 3 strands of Barbed Wire and (2) 24' double gates around
property [inaU-t- L"'-L'
Huw uurld I WUIK w ue er ronneu
11HVAC Gas Tank
unuer u115 per IT] r—cnecKau apply:
❑Gas Piping
❑Windows/Doors
_Shutters
11 Electric
Plumbing
❑Sprinklers Generator
Roof Roof pitch
Total Sq. Ft of Construction:
ScFt. of First Floor:
Cost of Construction:
$ 367,721.00
Utilities:Sewer 0 Septic
Building Height:
„QWNER%LESSEE
CONTRACTOR
Name Ft-O-Tf �L'<ow+s— > (ie���
Name: GeorgeThomasSmith
Address: '1eo ts11-tiw5& $Lug
Company: Smith Fence Company
City: D_.Uo 7Be Cj_' State: _
Zip Code: 3 3 Ltklf- Fax:
Phone No. qt-4- 'l"1�k — 33't
Address: 4699 110th Ave North
City: Clearwater State: Fl
Zip Code: 33762 Fax: 727-573-2075
Phone No. 727-573-5440
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: tsmith@smithfence.com
State or County License: CBC 1250975
It value of construction is SZsoo or more, a RECORDED Notice of Commencement is required.
.SUPPLEMENTAL CONSTRUCTION LIEN LAVV INFORMATION
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T
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name: George Thomas Smith
Add ress: 14195 Range Line Road Pon St. Lucie, F134956
Address:
City:
State:
City: Clearwater
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
A, Not Applicable
BONDING COMPANY:
XNot Applicable
Name:
Name:
Address: 4699 110thAveNorth
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 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.
Signature Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF b?-v=L�s
COUNTY OF Pjul 1�e' Lg-5
The forgoing instrumerlt was acknowledged before me
The forgoing instrument was acknowledged before me
this 311L day of 20� by
this 3L day of %�cro6eo 2012 by
One,()!gV,
reoaQ P6 :I— s,TH
Name of person making statement /
Name of person making statement
Personally Known OR Produced Identificationy
Personally Known _iL/— OR Produced Identification
Type of Identiype
of Identification
Produced INC�. C�L
Produced
(Signature of Notary Public- State of Florida)
(Signature & Notary Pu lic-•,S�p$Q Flo p LIS B. GONZALEZ
`� °a�:';
Notary Public • State of Florida
Commission No. o;•��%�:•�• KARSHI);. NIELSEN
Commission No. ? .•= CoOft$nNFF222762
Commission u FF 115637
-
••°'%°in:•, My Comm. Expires Apr25, 2019
My Commission Expires
Bonded through National Notary Assn.
°;;or r.; o�` June 12, 2018
ZONING
SUPERVISOR
REVIEWS
FRONT
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
i h 1i
RECEIVED
I v1
//`
DATE
COMPLETED
Rev.8/2/17