HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO.BE ACCEPTED
Date: l 1�d 16 -Permit Number:
-� RFCEII'7D NOV 3 � z016
BluiLding Permit'Application.
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 3.4982
Phone: (772)462-1553 .Fax: (772).462-1578: Commercial . Residential x
PERMIT APPLICATION FOR: To Select from drop, boxr.click arrow at the end of line hC
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PROPOSED P,ROVEME,NT I,OCATI0,N
Address: 3808 Promenade Way Fort Pierce, FL 34982
Legal Description: Estates of Longwood Lot 34
Property Tax ID#: 2433-502-0034-000-4 Lot No.
Site PIan:Name: I Block.No.
Project Name:.Fencino-residential
Setbacks Front Back: Right Side:: Left Side:: .
DElAILEbD DESCRIPTION OF Wokk, =
Install black. .chain. link fencing along the back of the property (east side of the property) tying.into
existing black chain link fencing on the north:of.thel property, Install black chain link fencing and a gate
at the back north east corner of the home, install white vinyl fencing and gate on the back southeast
corner of the home tying into the existing:white vinyl fencing.
CONSTRUCTION INFORMATION
Additional work to be nertormed under this permit check a apply:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers ]Generator E] Roof Roofp"itch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ �� Utilities. Sewer D Septic Building Height:
OWNER/LESSEE " , CONTRACTOR:
Name Roxanne Bourbonniere Name:
Address:3808 Promenade Way I Company:
City. Fort Pierce. State:FL �.:. Address:
Zip.Code: Fax: City: - State: .
34982. -
Phone No.772-216-0910 Zip Code: Fax;
E-Mail:roxanne@bourbonniere.net Phone No.
Fill in feesimple Title Holder on next page(if different &Mail:
from the Owner listed above) State or County License:
If value of construction is$2500.or more,a RECORDED Notice[of Commencement is required.
SUPPLEMENTAL CONSTRUCTION'LIEN LAW INFORMATION":
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 recording our Notice of Commencement.
R 0 Pn 1A iallu&u s
Sin ure of caner essee/Contractor as Agent for Owner Signature of Contractor/License Holder
i
STATE OF FLOR DA STATE OF FLORIDA
COUNTY OF COUNTY OF
I
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 30 day of 20 (by this day of 20 by
Jk
(Name of person acknowledging) (Name of person acknowledging)
I
(Signature of Notary Public tate of Florida) (Signature of Notary.Public-State of Florida)
Personally Known OR Produced Identification I Personally Known OR Produced Identification
Type of Identification Produced L Type of Identification Produced
NX. IE GIVENS {p
Commission No. ."'" MS MISSION#GG 022023 commission No. (Seal)
+d FxpIRES:Dace 16 bU Underw%6 1.
I';;�dii�°p`�
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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