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HomeMy WebLinkAboutBUILDING PEMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED . Date: Permit Number: 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 Address: 5620 Sun Pointe Drive, Fort Pierce, FL 34951 Legal Description: Lot 121, Portofino Shores Property Tax ID #: 1312-501-0056-000-6' Site Plan Name: Project Name: Setbacks Front Back: Right Side: 107'- 6' White Vinyl Fence With 2 ;Walk Gates Left Side: Lot No. 121 Block No. Additional worK to De ertormed under this permit — check all apply: HVAC Gas Tank []Gas Piping Shutters. []Windows/Doors Electric ❑ Plumbing Sprinklers E Generator' LJ Roof 4 Total Sq. Ft of Construction: ! SFt. of First Floor: Cost of Construction: $ 2300.00 Utilities: Sewer Septic Building Height: _ Name Marcelo L Dos Santos Address: 5620 Sun Pointe Drive City: Fort Pierce State: FL 34951 Zip Code: Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Daniel Turner Company: 3-D Fencing, LLC Address. 474 Autumn Terrace City: Sebastian State: FL Zip Code: 32958 Fax: 589-9989 Phone No. (772)388-0844 E -Mail: 3dfencing@comcast.net State or County License: 269.27 i If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Nqt Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address:. City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: - Not Applicable Name: BONDING COMPANY: _Not Applicable 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, fence's, 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 commencini=_ work or recording your Notice of Commencement._�� Signature of Owner Agent/ Lessee r Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF 1�d iCi�1 R�°LAR-4- The 6Ry- The for oing instrumen w s acknowledged before me this ,4 day of 0'G' �►� 20 1116 by I `—Do( h .%1-'1 j( (Name of person acknowledging) i (Signa ure of Notary Public- Stalprof Florida') Personally Known —_ OR Produced Identification Type of Identificatiop-Fred.-- STATE OF FLORI[UA COUNTY OF ._,L_gact/g,h The forgoing instrumen w s acknowledged before me his -a tday of 0C a✓ , 20_aby T)q Yj l u C^Yl —E a' -'— (Name ^ (Name of person 'acknowl edging ) (Signatbre of Notary Public- State of Florida �) Personally Known OR Produced Identification Type of Identification Produced_______._ ;.•:��.Syp PU".,, CYAiTH9g eLMARCIfAN`I Commission No. y COM 11SS ON #FF142116 Commission No. N '9TFOFp�oP,< EXPIRES Seiternber 21, 2018 (407) 393-0153 FloddiNotarySeivice.com Revised 07/15/2014 "` dF, CeaIIA LUMAFiCHA M CO MISSION #FF14.21 EXPIRES September 21, 20 3:38-0153 REVIEWS FRONT ZONING SUPERVISOR. PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS i � � $ d fi� '] E v •E Ji gig 11119flill o c S e O ii 4 4 ° z's • yo oc o M i �u-a1 RZ i y� rtr•u. I 1 �o i u $ fi� '] �tn •E 4r gig 11119flill o ii 301 .tiu �5g a .. C «qcl • yo oc o u'va o g •a C t'' o X V 8 gNT C $ g C ACR o gs e U a!o //Wyye LL �yyfFi ij�� tt pK( V' v 8 . •° g , qq a Y 4 m r�: e e f- K.t3�m a� iQK Sy a b���i 0 a -- _, f o_a oma �� � Q •� }r"""E�rgh.�gk;y✓L�tp�q�g�z�ge"� -j i O U C $ kc8 # C to W" z a `c MEL (} a n W J y 8`; W }�p in' a: uworm n a .- n i' 0u , 0 $ :0.- -is � q M i �u-a1 RZ i y� rtr•u. I 1 �o i u $ fi� '] E E 4r 301 p o o �5, o g •a C t'' o X V 8 gNT C $ g C ACR o gs e D # C o �sD NA s$ 2b of " C c [[ w -V - C y CF O p t 0 g W 6 ri d 0 w of M i �u-a1 RZ i y� rtr•u. I 1 �o i