HomeMy WebLinkAboutBuilding Permit Application Jun 201610:66a Veterans Fence 7728791009 p.1.
ALL APPLICABLE FOMIST BCOMPLETED FOR APPLICATION TO BE ACCEPTED f ��
Date: Permit Number. I
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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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of tine
PROPOSED.IMPRO - ENT.LOCATION:
Address:
Legal Description: P�`S �� rO
Property Tax ID JU �oZ�Oc* 1 Lot No.
Site Plan Name: Block No.
Project Na me•Setbacks Front Front Back Right Side: Left Side:
'p.ErAILED.:DESCRIPTION:OF WORK:'.
7Y Z- a. 6'&4 I 4'141 Pve ,fate �s l,
MOWN ,FORMATION:. `.
AdOittonal work toe e Orme under tis permit-c e a appy:
HVAC 0GasTank E]GasPiping _Shutters E]Windows/Doors
Electric 0 Plumbing Sprinklers El Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ a. Utilities: Sewer Septic Building Height:
OWN ER/LESSEE:' pq
CONTRACTOR:
Name ri %% Name: ? .ec-1-al
i
Address: I"'S Company: Ve4era.-.s p,� cG a<5 Me-.
City: ls� -sem►- a State: Address: Z P b o-C 56J
Zip Code: :W57 Fax: City:_ PSL- State L.
Phone No. Zip Code: Fax: f72 001 —fa 0 g
E-Mail: Phone No.
Fill in fee simple Title Holder an next page,{if different E-Mail: F�� e.a��ecr�n a v�[� t .C®�^from the Owner listed above) State or County License: t? -off V0 3
if value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
Jun 201610:56a Veterans Fence 7728791009 p.2
SUPPLE#1 E NT LCONS�'R.tiCTIO_N LIEN:t:c4 IN-FORMAT
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DESIGNER/ENGi EER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: ! & Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITU HOLDER: Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certifythat no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes nb representation that is granting a permit will authorize theermit holder to build the subject structure
which is in conflict w th any applicable Home Owners Association rules,bylaws or andcovenantsthat 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 tf iegranting of this requested permit,I do hereby agree that i will,in all respects,per'orm the work
in accordance with a 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 O%IIMER.,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 i spection. If you intend to obtain financing,consult with lender or an attorney before
commenun wo or recordingour Notice of Commencement.
rj/V'G�C�t/L s
_Signature of Own /Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORI STATE OF FLORIDA
COUNTY OF :; COUNTY OF
The fgrgoing instru ent was acknowledgedbefore me The f", oing instrument was acknowledged efore me
this �o day of 20 I�Lby this-L,- day of by
n
(Name of person a6 nowledging) (Name of person acknowledging)
VAI I
C1i,-+- G
(Sign tore of Notary Public-State of Florida) (Signature of Notary Pu lic-Sate of Florida)
Personally Known OR Produced Identification Personally Known�C OR Produced Identification i
Type of ldentificati f
Produce Type of Identification Produced
B`� KIRKARI KA Com fission No. f f '� j) KIRK ARI KCommission No < , MY #
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Revised 07/1512 14
REVIEWS FONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
CC LINTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS