HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO'BE ACCEPTED
Date: 5 a� `� Permit Number:
s RECEIVLD MAY 12015
Z
Building Permit Application
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
?a /)PFtQ1lEMENT OCATIUN
, „ �._. �_ ._ , .....,..
Address: 6017Spring Lake Terrace
Legal Description: Portofino Shores Phase 3 Lot 333
Property Tax[D#: 1312-503-0106-000-8 Lot No.333
Site Plan Name: Randy Wunsche Block No.
Project Name:
- Setbacks Front Back: Right Side: Left Side:
G
Install 6' vinwye~.�lr fence 113 �-� ����`�, LSF rd-�� OF j�;kc,Li_� rL-,o
133
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;NSTRUC �£�I� �NFQRMATlON, jg
Arid t onal work toe e orme under this permit-c ec a appy:
HVAC E]Gas Tank []Gas Piping _Shutters Windows/Doors
LJ Electric ElPlumbingSprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2300.00 Utilities:In Sewer[]Septic Building Height:
' �., rs ,a ...C � 'sit1TlER/LI_ � C9 � �� GONTRACTQR ,
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Name Randy Wunsche Name: Daniel Turner
Address:6017 Spring Lake Tert Company: 3D Fencing LLC
City: Ft Pierce State:FL Address: 474 Autumn Terr
Zip Code: 34951 Fax: City: Sebastian State:FL
Phone No. Zip Code: 32958 Fax:
E-Mail: Phone No. 772-321-2051
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: alc I all
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,,:.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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 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
commencin work or recording our Notice of Commencement.
td �' J /•L/1/�•^�� 1'•I/Y l /
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA ! nn
COUNTY OF �r���ian, ��vt v- COUNTY OF Irl c1 r'c;inThe for Ding instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I�l day of r)7 � 20 ]-; b), this1�( day of r11.9 20_j_J-by
•�GYllrz.l � vTl'1 .ri' 4ai�i � I tern .rr'
(Name of person acknowledging) (Name of person acknowledging)
,tan31
l�t. % d,c.i IV Cyl'a''� '✓ LIQ u c c
cvllcf�'71
(Sig ature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known t/ OR Produced Identification Personally Known �OR Produced Identification
Type of Identification Produced Type of Identification Produced
CYNTHIA LU MARC NT
" ',''{ �1THIA LU MARC +.
Commission No.FF 1`l� !/ `�°C A'``�`S�� 1T fission No.j'� l /� ! I
•,�, r ! COMMISSION#FF1 116
_ MY COMMISSION#FF 42116 "'o°;
'�'o�r�?a,•'' EXPIRES September 21 018
EXPIRES Septemb r P1 (407)398.0153 FloridallotaryService.c
(407')-'i9 8-015 1 3 FloridallotaryService.c.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS �