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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: /'. r �l5 Permit Number: 1-63 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 yes PERMIT APPLICATION FOR: Fence PROPOSED]M PROVEM ENT LOCATION: _ Address: IGS k e echoA e,s -- 3 S Legal Description: 29 36_ 3 '? � al _Tn�� 0-r Wr RIW Canal *S10nd t- R 0-105--- p 1 j n SIAO L6 Property Tax ID#: O " / / 00 Q-© Q Q 6 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front 60 ' Back: 3 0 Right Side: Z D Left Side: 2 U DETAILED'.DESCRIPTION OF WORK: vg f CONSTRUCTION'.INFORMATION. Additional work to be performed under this permit-check all appy: HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors In FlElectric 0 Plumbing []Sprinklers 1-1 Generator Roof Total Sq. Ft of Construction: S Ft.of First Floor: 00 Cost of Construction:$ ~- Utilities: Sewer Septic Building Height: OWNER/LESSEE::_ , .; 4CONTRACTOR: Name Lipda L 14a Name: Address: Oke?- Company: City: F-4 Pier,— State:F1 Address: Zip Code:. zb Fax: City: State: Phone No.g 4 4P3 -S6CO Zip Code: Fax: E-Mail lr.hC1a `o//Y3d®e Q o /�� Phone No. Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commenceme equired. I'q& a, 5 'e 11 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 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 1 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 our Notice of Commencement. 2` s _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORI c STATE OF FLORIDA COUNTY OF COUNTY OF The for oing inst u ent as acknowledged before me The forgoing instrument was acknowledged before me this day of 20/S�by this day of .20 by ( ame of person acknowledging) (Name of person acknowledging) 1 1 (Signature of Notary Public-Stat"f Florida) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Iderqifi a 'on Pro iyc � _ ._ _ ... Type of Identification Produced DAWN MILONE r Commission o. _: ;° %LyJJybIic-State of Florida, Commission No. (Seal) S. +'S MY Omm.Expires Mar 22,;2017 1 'Commission#EE 877571. roug atWill Notary Assn. Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS