HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:ML IBM. A
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 2409 Tamarind Drive, Fort Pierce, FL 34949
Legal Description:
Property Tax ID#: 1436-601-0045-000-4 Lot No.25
Site Plan Name: Fort Pierce Shores-Unit 1 Block No. 2
Project Name: Fence Extension
Setbacks Front 25 Back: 20 Right Side: 7.5 Left Side': 7.5
DETAILED DESCRIPTION OF WORK:
Extension of existing fence and gate on south side of house.
CONSTRUCTION INFORMATION:, rF
Additional work toa er orme under this permit—check a appy:
HVAC E]Gas Tank []Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 350 sf Sc. Ft.of First Floor:
Cost of Construction:$ 1,500 Utilities.
0Septic Building Height:
OWNERAESSEE CONTRACTOR
Name Robert S.&Mary E. Rude Name:
Address: 14081 River Road Company:
City: Fort Myers State:FL Address:
Zip Code: 33905 Fax: City: State:
Phone No.239-872-5364 Zip Code: Fax:
E-Mail:bobrude@outlook.com Phone No.
Fill in fee simple Title Holder on next page(if different E-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: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 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 followir g 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
improverr ents to your property. A Notice of Commencement must be recorded and posted on the jobsite
before thT first inspection. If you intend to obtain financing, consult with lender or an attorney before
commending work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF , xte COUNTY OF
The fouing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this,day of Q! 20/7by this day of 20 by
(Tqame of person a( nowledging) (Name of person acknowledging)
(Signature of N aryublic- a of Florida) (Signature of Notary Public-State of Florida)
Personally Known !//OR Produced Identification Personally Known OR Produced Identification
Type of Identifi Type of Identification Produced
MARSHA D
�c�BARKER
Commission N .z' fh�i ;�= MYCnMMISSIl�7v F171036 Commission No. (Seal)
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Revised 07/15/2014
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