HomeMy WebLinkAboutBuilding Permit Application May 2616 07:56a Veterans Fence 7728791009 p.1
I
I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date' 6 Permit Number•
Planning and DeveJopmeniServites
Building Permit Application R EC E V E S
e
Building and Code Regulation Division MAY 2 6016
2300 Virginia Avenue,Fort Pierce FL 34982
Phon (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRO POSEDIMPROUEIV)t::NT:LOCAtTION:.::.
Address: 4f O 7L1/VS 6,T l�Lv `
Legal Di cdption: �v� 1pf
PropertyTax ID#: 6 07 6>00(9 Lot No,
Site Plan Name: i2oLk BIS 40.
Project Name:
SetbacIks Front Jv P Back. A'* _Right Side: W o Left Side: iV o
I ..PET AtLED:DESCRlfsTf,ON:0EMORK:.: ::� .,: ::::.:�: . . : . ..:.. ::. ; .::. .:. .:. :.:.::•..: ........: . ....^:... .....,
Lc-Pt� St3►.e
CON :RUCTION.INfORMAT—IONt' . .
itilona wor to e e rme un ert ispermit—c ec a app : ce
HVAC 13 Gas Tank []Gas Piping Li Shutters Vindows/Doo
[]Electric Plumbing Sprinklers Generator Roof
Total Sq.Ft of Constru 'on: SQ.Ft of First Floor:
Cost of Construction:$ Utilities: Sewer Septic Building Height: 4'
OWNWLESSFE . . CONTRACTOR" .
' Name' Name:_U6 us
Address: II�� Company: Ue_�...
City: I FA�► T' P i P R PIP State: k• Address: 2/u0• JiJ
Zip Code Fax: City: SL State:f"�
Phone No. Zip Code: B44 Fax:17 —r00Q
E-Mail: Pflone NolTZ' 6 7 s
Fill in fee simple Title Holder on next page(if different E-Mail:ekhe,d 14enmuw, 6o. 0,,,
from the owner fisted above) State or County License: .6 1 k
I
If value Of construction is$2500 or more,a RECORDED Notice of Commencement is required.
1
I
May 2616 07:55a Veterans Fence 7728791009 p.2
I
i
i
crEMEoscucoA ;1pr.. NFaRIAniv :. :..:: :.: .
DESIGNER/ENGINEER: `Not Appiicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: I Phone: r Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not A plicabie
Name: I r A Name:
Address: Address: Ik
City: 1 City:
Zip: I Phone: Zip: Phone:
I
I certify I hat no work or installation has commenced prior to the issuance of a permit
St.LucielCounty makes no representation that is granting a permit will authorize the permit hold r to build the subletstructure
which is in confflict with any applicable Home OwnersAssociatian rules,bylaws or and covenants at may restrictor prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restr coons which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respe ts,perform the wot k
in accordance with the approved plans,the Florida Building Codes and St.Lude 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 a other non-resfdenti i use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying tv ice for
improvements to your property.A Notice of Commencement must be recorded a nd posted on the jobsite
before the first inspection.If you intend to obtain financing,consult with lender r an attorney be ore
commencing work or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Agent Signature of Contractor/LicerLs Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 14 Lr.r-1-p— COUNTY OF W IL v i-e�-
The forgoing instrument was acknowledged before me The forgoing instrument was a cknowledged before me
this AK day of&z�tp . 20L—aby this 2cf day of0IJ 20 M by
. IG�Gt���� xJ9'��W 1G A WVa4 r
(Named o`f person acknowledging) (Name of person acknowledging)
e#— A;t - CA1<et
{Signature of Notary Frublic-State of Florida} (Signature of Notary Public-State of Florida)
Personally Known z\ OR Produced Identification Personally Known X OR Produced Identification
Type 6f identification Produced T pe of Identification Produce
f o. KIRK ARI KATZ y�
aP g'%
Commission N0. � =r� �, 4+=,(Seal) CO mission No. =;o�P�,,,•. (Sea�}I K Aid!KATZ
MY COM141fSStON AFFO 924 a. ?=_
'�°t
EXPIRES Au ust 12,20 7 � MY Cflid 11SSION OFF0449
Auglist 12.
(401)M-11153 FforirlalloforySenAco.com .`�`•�O'„'.�'
Revised 07115/2014 (407139;1-0153 Florid 7JJofarVScrviw..ccffn
I
I '
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER I REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE !
COMPLETE
1NrriALs i
i
`I