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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE/INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: G• �� Permit Number: 1507-D� 7 RECEIVED Building Permit Application JUL /6 .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 PERMIT APPLICATION FOR: Fence PROPOSE 1MPRO.VEMENT L0. CATIO'N - , Address: 76 N. EIMar Drive,Jensen Beach,Fl. 3 Y Z 7 Legal Description: -e✓ /02_5f2 Z`4 2. e l2.• — Xe241^0z_ o�ti •C 3 3% t t � PropertyTax ID#: Y.S%/— S-00 — 006 9 — Lot No. � Site Plan Name: Block No. Project Name: 000y_ �r Setbacks Front Back: Right Side: Left Side: DETAILEO=DESCRLPT!_ON CSF,WORK - — --- Remove 51© of existing wood fencing/Install 62© of 6© Board-on-Board wood fencing CONSTRUCTION INFORMATION Additional work toe e orme under this permit—c ec a appy: HVAC 1.Gas Tank ❑Gas Piping Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 1800 Utilities:Sewer E]Septic Building Height: 01fif;ilER/LESS r: COiUTRACTOR Name :a"-f .T-_1 d2 kvz v r►-, Name: Gary Kasperowski Address: IP9-94 Company: Treasure Coast Fence Inc. City: ,7-r' h J C 1*3-e-I-r-�J State:jF4 Address: 2340 SW deepwood Pass Zip Code: Fax: City: Palm City State:Fl. Phone No. ._?7 Z— 3/ — /& Zip Code: 34990 Fax: 772-283-4560 E-Mail:A04 eh ylwJ'�o J'Oecki,e- -s 7~�%vim Phone No. 772-285-1859 Fill in fee simple Title Holder on next page(if different E-Mail: kasperowskig@bellsouth.net from the Owner listed above) State or County License: 25299 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 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..lf you intend to obtain financing, consult with lender or an attorney before commencing work Oy6cording your Notice'of Commencement. '4. .Z_­7 s _Sign re Owner/ ssee/Agent Slirnat of ontract5onenseHolder ,�-.,,, STATE OF FLORIST TE OF FLORIDA COUNTY OF 'A.9 ell ,a .•�r COUNTY OF m< The forgoing inspuTins was acknowledged bef a The fo going inst en was acknowledged before o this day of 20/ m this 7 day of 20 1Jby 55%m ���� N� 6�4ri UWV,4 � � Al ` rnTnS (Nam of person acknowledging) A (Name of erson acknowledging) ({� N 9. A< I m • (Signature o otary Public-State F ori ) ( ignature of a Publi tate V FI ida) Personally KnownO P uc d Id nWica ion Personally Known 0 u ed Iden ificatio�f Type of Identification Produced Type of Identification Produced + :% Commission No. (Seal) Commission No. (Seal) Revised 07115/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS