HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/02/16 Permit Number: 1(0_�WO-Oh-�cd
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
PROPOSED IMPROVEMENT LOCATION:
Address: 999 Echo Street
Legal Description: WHITE CITY S/D 09 36 40 N 105ft of S 235 ft of W 97.23 ft of E 608.38ft of LOT 222(0.23AC)
Property Tax ID#: 340350202730001 Lot No.222
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Wood fence 6x8 enclosing back and side yards of residence. Two entry gates (PVC), one on each
side of residence. Approx. 30 panels.
CONSTRUCTION INFORMATION:
Additional work toe e Orme under this permit—check a appy:
E1HVAC Ei Gas Tank E]Gas Piping _Shutters Windows/Doors
11 Electric ❑Plumbing Sprinklers ElGenerator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ approx$1800 Utilities:_Sewer[:]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameKendall Conklin Name:
Address:999 Echo Street Company:
City: Ft. Pierce State:FL Address:
Zip Code: 34982 Fax: City: State:
Phone No.772 577 0910 Zip Code: Fax:
E-Mail:chorse1979@aol.com JE-Mai -
from
hone No.
Fill in fee simple Title Holder on next page(if different the Owner listed above) e or County License:
If value of construction is$2500 or more,a RECORDED Noti 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 t4first inspection. If you intend to obtain financing, consult with lender or an attorney before
commen n wo or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFu,C�J COUNTY OF
The f going instrum nt was ackno ledged before me The forgoing instrument was acknowledged before me
this day of 20 y this day of 20 by
(Name of person acknowledging) (Name of person acknowledging)
a��Z�J��
(Signature of Not Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known ORPr c d I cation Personally Known OR Produced Identification
Type of Idfi tion ent' Produced L_ Type of Identification Produced
s
4�ti�j�RY PU-• ANGELA M{����) (Seal)
Commission o e,• Commission No.
,`, ublic-State of Florida
Nom; v; Commission#FF 234730
—Y �Ulllljl. pyres May 27.2G i
Revised 07/15/2014-
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS