HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:._ S Permit Number: RECEIVED
e
Building Permit Application MAY "1 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 Residential x
PERMIT APPLICATION FOR: Fence
PR.OPOSEDIMP,ROVEMENT
�.
Address: 154 W Arbor Ave Port St Lucie FL 34952
LegaI Description: River Park Unit 3 Blk 7 Lot 6
Property Tax ID#: 3419-515-0065-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Frank Sabo _
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRiPTaONhOFUt/ORK z �J4
{
Install Fence on inside of property lines
LQvg4-k
CONSTRUCTION I_NFORIVIATIOIV Y: r
Additional work to be nertormea under t is permit—check all that apply:
❑HVAC Gas Tank ❑Gas Piping _Shutters F]Windows/Doors
Electric F-1PlumbingSprinklers D Generator L]Roof
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
�It Cost of Construction:$ 6 k O ' 00 Utilities: Sewer Septic Building Height:
OWICER/LESSEE
CCINTRACTOR ,
Name Frank Sabot Name: Daniel Turner
Address:154 W Arbor Ave Company: 3D Fence
City: Port St Lucie State:FL Address: 474 Autumn Terrace
Zip Code: 34952 Fax: City: Sebastian State:FL
Phone No. Zip Code: 32958 Fax: 772-589-9989
E-Mail: Phone No. 772-321-2051
Fill in fee simple Title Holder on next page(if different E-Mail: 30 49 ra', S QCA0v►+c.4s . t4g—+
from the Owner listed above) State or County License:,*
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CtNSTRUCTI�ON LIEN LAIN INORMATION'� ti`i' �,, �; x
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
..........._--.__...__..____.._--_...__ I -- ----
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 wor r recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of,_Contracto�r/License Holder
I
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF iraii-Rv- COUNTY OF rd,F)"RIK
I
The forgoing instriAment was acknowledged before me The forgoing instrument was acknowledged before me
this day of. Y i L 201'S by this �g day of Ao�rC% 20 S�by
Doviei Turner '� Daniel Twner
(Name of person acknowledging) (Name of person acknowledging)
(Sig ature of Notary Public-State of Florida) (Sign ure of'Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced I Ic tion Produced
t j '""-°°°� CYNTHIA U MARCHANT
Commission No. I yZ j/tom S'e „aYPII
`' ` f� N
MY COMMIS S�� 1401h16. �/ ;=o:-' ;6�1 THIA LU MAR ANT
EXPIRES se tember 21,2018 :N',. MY COMMISSION#F 2116
(407)398.0153 FloridallotaryServl'ce.co ..,,
oRF; "�—EXTIRES-Septetlber24 2018
Revisccl 0/11I5/2011 (407)398.0153 FloridallotaryService.c im
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
r
INITIALS