HomeMy WebLinkAboutBuilding Permit Application F-.`-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: 11/8/2016 Permit Number: r 1
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 [MR-RO..VEMENT L:OCATIO.N
Address: 2903 ANDERSON DR, Fort Pierce, FL 34946
Legal Description: SHERATON PLAZA-UNIT FOUR REPLAT LOT 307 (OR 3448-1367: 3688-620)
Property Tax ID#: 1432-807-0065-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Gray Fence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIP N OFF W',ORK
` 6 �ood e In ck Y d.
CO'NSTRU CTI O N'I N FO RmATIO N
Additional work to
❑ e—e orme under tis -checkpermit a appy:
HVAC be
Tank E]Gas Piping Shutters ❑
Windows/Doors
Electric 11 Plumbing Sprinklers 1
Generator F] Roof
Total Sq. Ft of Construction: 2160 SFt. of First Floor: 2160
Cost of Construction:$ 800.00 Utilities:Sewer 0 Septic Building Height: 9'
01NNER/LESSEE CONTRACTOR:
Name Anderson Family Trust Name: Roderick Waller
Address:2903 ANDERSON DR Company: Sunrise City CHDO, Inc.
City: Fort Pierce State:FL Address: 3550 Okeechobee Rd
Zip Code: 349447' Faxes—^� City: Fort Pierce State:FL
Phone NoQ--t0 �o���l Zip Code: 34947 Fax: 772-907-0420
E-Mail: Phone No. 772-201-2850
Fill in fee simple Title Holder on next page(if different E-Mail: rodwallerl@gmail.com
from the Owner listed above) State or County License: CGC1515114
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUP,PLEIVIENTAL CONSTRUCTION LIEN 'LAW INFO'RIVI
ATI ON
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 thepermit 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 recordingVour Notice of Commencement.
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_Signature of Owner I Lessee/Agent Signature of Contra for/License Holder
STATE OF FLORIDA ` n STATE OF FLORIDA
COUNTY OFP
�IA,C� COUNTY OF
The fing instru m t was acknowledged efore me The forgoing instru nt was acknowledged before me
this Vday of 206-0y this day of 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Si ure. No ry Public-State of Florida) (Signatur f N ary Public- at%q, )
�tARY A��f•.
P sonally Known OR Produced Identification ersonally Known •i o�� d_Id� i�icg8lg
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ANGELA M My Co mission to Of Flori
Commission No. -�'�'�`Y'"a�'., otary Publi segte of Florida Commission No. Bo � (� FXpi�e FF 23473 d
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Revised 07/15'/20y
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