HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: December 23;2016 Permit Number: 40/_-z' 04'1
RECEUVED
Building Permit Application DEC 2-7 2016
Plan ing 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 El
PROPOSED'IMPROVEMENT'LOCATION:
Address: 5001 Tamoka Court,Fort Pierce,FL 34951
Legal Description: not available
Property Tax ID#: 1312-801-0137-000-9 Lot No.
Site Plan Name: Robbins Fence Install Block No.
Project Name: Install PVC Fence
Setbacks Front25+' Back: 2' Right Side: 2-4" Left Side: 2-4"
DETAILED DESCRIPTION,OF WORK
Install 182 LF of 6 foot tall PVC vinyl fence with no gates.
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CONSTRUCTIONINFORMA,TION:
Additional work to be performed under this permit—c ec a appy:
HVAC LJ Gas Tank Gas Piping _Shutters Windows/Doors
❑ a
Electric 0 Plumbing a Sprinklers 1:1 Generator F] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4,360.00 Utilities:Sewer ElSeptic Building Height:
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OWNER/LE"SS;EE: CONTRACTOR:
Name Calvin Robbins Name: DanickBailey
Address:5001 Tamoka Court Company: A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise Drive
Zip Code: 34951 Fax: City: Port ST Lucie State:FL
Phone No.954-6559021 Zip Code: 34986 Fax: 408-0272
E-Mail:cal3854@aol.com Phone No. 812-0223
Fill in fee simple Title Holder on next page(if different E-Mail: info@agreatfence.com
from the Owner listed above) State or County License: 23954
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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4S'RRUEMENTAL<<CO;NSTRUCTION LIEN LAW INFORMATION.; ,«
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DESIGNER/ENGINEER: x_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: 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 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 our property. A Notice of Commencement must be recorded and posted on the jobsite
before the first ' pection. If you intend to obtain financing, consult wi h lender or an attorney before
commencing0 k recordin our Notice of Commencement.
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Signatur of O nZssee/Co ct as Agentfor Owner Signature o o tr ctor/Lice a Ho erSTAT OF LOR STATE F FL RIDA
COUNTY OF ���a, COUNTY O St Lud.
The for If
instrument was acknowledged before me The forgoing instrument was acknowledged before me
this If day Of 6 C-CL-'M13 C . 20 1 Toby this 23 day of December .20 by
Darriclr Bailey 1 Derrick Batey
(Name on acknowledging) (Nam7ofn acknowledging)
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(Signature ofto Public-State of Florida) (Signature of Nota P lic-State of Florida)
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Personally Kn x R_ rod r d IdPntiti•, +i Personally Kn n x OR Produced Identification
Type of Identificatio; Pc 96", Type of Identi ication Pr d, b
r� fi CRYST
Commission No. FFo3 162 , MY Cot ISSION#FF039152 -' L BfSNOP
eeaa�Il, Commission No. FF03s15 MY CC
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Revised 07/15/2014
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