HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO 1MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �1 �P Permit Number: I & �� yT �
Building Permit Application
RECEIVED-
Planning and Development Services
Building and Code Regulation Division MAR 2 5 2016.
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOS,ED.IMPROVEMENT L:OGATIQN
Address: 73$01 SQQT+E TAM/AAJ PI VER h2. r-o07RIERCE I. 31Y �gZ
Legal Description:_,Sliy6LF_ PAM IV &OIVE
Property Tax ID#: 2926 - g31-C oow- ood -6 Lot No.
Site Plan Name: Block No.
Project Name: F€N CE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTI,QN O.;F„WORK
A Wnooi:W PR1 VAcy FENC E -t0 8E TNSTAL t.g"D 6,%it-FRom T K
. E FD 6E of
7-N01A.A1 RIVER 02l vE, F cAa IS 6 ' f�l'6ff By: Q� FEET Lowe. 32. SECT)O S
OF FSVC,E W1LL. 6E :rJVS7ALLF,D SPANK INC7 2,S6: FFMCE WILL- 13E
TJVSTAH.LX U SJVS I VE P ROPE I L/NE, LIx LI PCKT 7a 8E cEMfivT /N C'jeOWO.
CONSTRUCTION, INFORMATION
tz :
Additional work to be nertormed under this permit-c ec a apply:
HVAC 0_Gas Tank 0Gas Piping Shutters ❑Windows/Doors
Electric ElPlumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: m"r S . Ft.of First Floor:
Cost of Construction:$ 7- .100. CSO Utilities: Sewer Septic Building Height:
OWNER/LESSEE CONTRACTOR
o z , f✓ .,, e. TN '.
Name a C Name:
Address:3401 S.TND1AA) 2I VLFR DR)VE Company:
City: GO— Pl FQC E State:EL Address:
Zip Code: 3 417$Z Fax: City: State:
Phone No. '3Z/ - Z2ly - $ 89Z Zip Code: Fax:
E-Mail: SoMmsc Z Yhll*od Com 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 Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIE"N"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 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
comm in ork or reco ding your Notice of Commencement.
IF
_Signature Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF1 COUNTY OF
00
The f rgoing instr /t�,�w/a,s, acknowledged before �t j The forgoing instrument was acknowledged before me
this day of p '/L'�Li� 20 ��by w g c this day of 20 by
9
C-H S
1 11
(Name of person acknowledging) s iN (Name of person acknowledging)
'vW
(Signature of Nota ublic-State of Florida) V (Signature of Notary Public-State of Florida)
Personally Known OR Fro uced Iden 'ficatio / Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS