HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/26/17 Permit Number: tqo�-J C)U�
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RECEIV." C J41 2 d 2917
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 Yes
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT,LOCATION
Address: 7107 S. Indian River Drive
Legal Description: see attached meets&bounds legal
Property Tax ID#: 341241400010002 Lot No.
Site Plan Name: mathias Block No.
Project Name: mathias
Setbacks Front 111 Back: 130+ Right Side: 43 Left Side: 16
DETAILEUDESCRIPTION QFWORK:
300 foot wood fence with 4x4 PT posts 4 foot on center by 6 foot high
CON5T U IONJNFORMATION
itional work to be nertormed under this permit—check all t=appy:
❑HVAC Gas Tank Gas Piping _Shutters Windows/Doors
F]Electric 0 Plumbing OSprinklers E Generator F] Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2000.00 Utilities cn Sewer[]Septic Building Height:
bwNER/LESSEE:" CONTRACTOR s
Name Mike&Stacey Mathias Name: Mike Mathias
Address:7107 S. Indian River Drive Company: Creative Innovations and design Ilc.
City: Fort Pierce State:Fl_ Address: 7107 S. Indian River Dr.
Zip Code: 34982 Fax: City: Fort Pierce State:FI.
Phone No.772-285-3984 Zip Code: 34982 Fax:
E-Mail:captain55@comcast.net Phone No. 772-285-3984
Fill in fee simple Title Holder on next page(if different E-Mail: captain55@comcast.net
from the Owner listed above) State or County License: cbc 028072
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORIVIATIO,N ;: .
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: Mike&Stacey Mathias Name:
Address: 7107 S.Indian River Dr Address:
City: FortPierce City:
Zip: 34982 Phone: 772-289-3984 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 ins Action. If you intend to obtain financing, consult wit nder or an attorney before
commencing work or recording our Notice of Commencement.
G s
Signatufg of Owner/Les ee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLOWAA
COUNTY OF A- L KL� COUNTY OF �„t,UA�4&
The forgoing instrument was acknowledged before me The forgoing instru_anent was acknowledged before me
this.U day of ,-- 20 I`�by this D U day of Q CULL / 20 (�_by
r �
(Name of person acknowledging (Name of pprson acknowledging)
4,
(SI ture of N a Pub ic-State of Flo ida) (Sign ture Nota Public-State Florida)
Personally Know OR Prod ucecL Identification v Personally Known OR Produced Identification
Type of Identification Produced—a Type of Identification Produced
Commission No. DK,,10,11PBUElsRLY R.MILLER � FKIM LY MILLER
ommission N ' p ,ate of Florida
blic,State of Florida Notmmision#GG 9650 ,MirCommissto ems JGu 982020
m,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS