HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 13, 2016 Permit Number: Com;
' 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
PROPOSED IMPROVEMENT LOCATION: ,;
Address: 87 Aqua Ra Drive, Jensen Beach, FL 34957
Legal Description: River Watch BLK 4 LOT 4
Property Tax ID#: 451181500130007 Lot No.4
Site Plan Name: River Watch Block No. 4N/
Project Name: N/A
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
DETAILED DESCRIPTION;-QF WORK:. , {
Per Code Regulation Division, case no. 87288 a building permit must be obtained for the EXISTING
chain link fence shown on the attached property line survey plat, and highlighted in orange.
Construction of approximately 100 feet of 5 foot chain link fence including lockable gates on both sides of
the house.
CON"STRUCTION INFORMATION:
Additional work to be nertormed
. under this permit—check all appy:
HVAC Gas Tank DGas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ Utilities:n Sewer O Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Donald M.and Kathleen Ayres Name:
Address:7830 Truitt Lane Company:
City: Severn State:MD Address:
Zip Code: 21144 Fax: City: State:
Phone No.410-375-8959 Zip Code: ` Fax:
E-Mail:dkayres@verizon.net Phone No.
Fill in fee simple Title Holder on next page (if different E-Mail:
from the Owner listed above) State or C my License:
if value of construction is$2500 or more,a RECORDED Notice of Comme cement is required.
�.a r
-SIJPPLEMENTAL'C�ONSTRU'CTION LIEN"LAW INFORMATION. ,,' '
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: x Not Applicable
Name: l.dk—jtT'-.. JkNtr e--SName:
Address: 76Z T'rviLcnc Address:
City: Syiy ee/n Mb City:
Zip: Zl l 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
�� lv s
_Signature of pO��w��njjer/Lessee/ gent Signature of Contractor/Licens Holder
STATE OFFS �._p STATE OF FLORIDA
COUNTY OF PW/dV—� !t ^�f��� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisday of JcWE 20 14—by this day of 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Sinatu otary P lic State of-HeH e)Iv�A-G- �/n► (Signature of Notary Public-State of Florida)
Per onall own OR Produced Identificationy Personally Known OR Produced Identification
Type of Identification Produced IV%7 'Dl-- T1pe of Identification Produced
Commission No. TAY ryDEY116A mmission No. (Seal)
Anne Arundel County
Revised 07/15/2014 My C,emmleelenTEgpires Sept.26`2016
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS