HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / 1
Date: �' �' 1 Permit Number: 1� '�l (9 O
RECEIVED
Building Permit Application MAY -71015
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 Residential x
PERMIT APPLICATION FOR: Fence
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'PROPQSEDII�JIPROVEMENT Lt3CATIC9N . ..,`` , �, ;< �
Address: Robin Jones Ey 0 FVJt- t!/y,`T„
Legal Description: Lot 27, Black 67, Lakewood Park
Property Tax ID#: 1301-606-0196-000-7 Lot No.27
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
k L
DETAIEED`Qf RIPTION flF WORK
249'- 6' Wooden Fence
`CONSTRUCTION IIFORNiATIO'N
- 3
Additional worko be DeFFormecl under this permit a appy:
OHVAC t_I Gas Tank FGas Piping _ I Shutters []Windows/Doors
aElectric Plumbing Sprinklers a Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First(Floor:
Cost of Construction:$ 2350.00 Utilities: Sewer[]Septic Building Height:
'RILE 'S ;CON?RACTR
Name Robin Jones Name: Daniel Turner
Address:7601 Fort Walton Avenue Company: 3-D Fencing,LLC
City: Fort Pierce State:FL Address: 474 Autumn Terrace
Zip Code: 34951 Fax: City: Sebastian State:FL
Phone No. -5 Zip Code: 32958 Fax: 589-9989
E-Mail: Phone No. (772)388-0844
Fill in fee simple Title Holder on next page(if different E-Mail: 3dfencing@comcast.net
from the Owner listed above) State or County License: 26927
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTL`CONSTF{UCTIQN Lll LAW INFUEtI�IATIC7NTt
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. ,
DESIGNER ENGINEER: Not Applicable t.:MORTGAGE COMPANY: Not ApplicableN
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: _Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable I
Name: Name:
Address: I Address:
City: City:
Zip: Phone: 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 thepermit 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:roorn 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 workAr recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Jjirhari ibr'.p�- _ COUNTY OF ... Pi r-1/g h r`L-e,--•-
The forgoing instru ent was acknowledged before me The forgoing instrurngpt was acknowledged before me
this 21_day of - ` 20 115 by this zZ�,day of__4p ,I 20 by
(Name of person acknowledging) (Name of person acknowledging}
{f YLL�i i La :_
(Signature of Notary Public-State of Florida} (Signature of Notary Public State of Florida}
Personally Known R Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
...y,i1T
Commission No. r1`/ 1 .•'a° 'fin !}lTHIA LU MARC ission No. l .2 If 6, a
&YNTHIA Lt!MA
s my COMtJ11SSION#FF 42176
` MYCOMtvON
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^,.,ofn.; t BS SeptCtnber,
{407j 398.0153 FloritlallotaryService.coRl (407)398.0763 2t)t 3
Revised Ui/15I2U.1.4 FfOr LfBNGt JiGe OR1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE J MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE -
COMPLETE
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