HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 131115 Permit Number:
RECEV:'_D JUL 3,1201
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: To Select from dropbox, click arrow at the end of line C Q_
PROPOSED IMPROu.E.MENT LOGATIOIU
Address: 120 se Prima Vista Blvd
Legal Description: RIVER PARK-UNIT 5 BLK 50 W 30 FT OF LOT 13 AND E 50 FT OF LOT 14
(PARCEL E)(MAP 34/28) (OR 3692-1058)
Property Tax ID#: 3419-540-0237-000-4 Lot No.
Site Plan Name: Block No.
Project Name: 120 SE PRIMA VISTA BLVD
Setbacks Front Back: Right Side: Left Side:
y,
tDETAILED DESCRIPTION OF WORK £ kry� ,.
,
INSTALLATION OF 110 LINEAL FOOT OF CHAIN LINK FENCE OF 4 FEET HIGH WITH ONE
SINGLE GATE
CONSTRUCTION;INFORMATION:
. _
Additional work toe nertormed un er t is permit—check a apptty:
OHVAC0 Gas Tank as Piping _Shuers E]Windows/Doors
Electric O Plumbing Sprinklers Generator l]Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 1500.00 Utilities. Sewer 0Septic Building Height:
OWNER/LESS
EE ` CONTRACTOR
�
Name Name: MN
Address: 120 SE PRTIVIA VISTA BLVD Company: ALPHA D=N CONTRACTOR LLC
City: P State:_ Address:
Zip Code: 34952 Fax: City: PO State: FL
Phone No.917-682-9809 Zip Code: 34952 Fax:
E-Mail: Phone No. 772-446-5329
Fill in fee simple Title Holder on next page(if different E-Mail: nicomaquin(No mal .com
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEIVIENTAlCONSTRUCTION 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. LucieCounty 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 a orney before
commencing work or recording our Notice of Commencement.
via
r7'G'G7) S
_Signature of Owner/Lessee/Agent Signature of Vntracto /License Holder
STATE OF r STATE OF FLORID rr f
COUNTY OF FLORIDAZ;(— �J a,\C—, COUNTY OF ��C' �b�
The for oing instrumr n was acknowledged before me The for ing instrument ws acknowledged before me
this day of JUl-/ 20(Tby this day of 20 ,L,by
(Name of person acknowledging) Name of person acknowledging)
)r,
(Si n ture of Notary Public-Stat4 of Florida) ( ignature of Notary Public-State of Florida )
Pe nally Known OR Produced Idntification ersonally Known OR Produced Identification
Type of Identification Produced Ft- S L . Type of Identification Produced1— L__h C
Commission No.FF 24f 53Z (Seal) Commission NOFF ?_4E -3 Z (Seal)
�xv Pu�c JUAN CARLOS QUI otPV!k CARLOS QUINTERJ
* COM ISS ON#FF a3, * * MY COMMISSION#FF 246532
Revised 07/15/20144.f'
f ,EXPIRES:November 2,2013 EXPIRES:November 2,2019
vornoO Boaded Tdru Bud ;Npi�ry$p ES N'04OF 413p Bonded Thru Budget Notary Senic
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS