HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 7, 2017 Permit Number:
s
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 IMPROVEMEN1 LOCATION:
Address: 3333 S. Indian River Drive, Fort Pierce, FL 34982
Legal Description:
Property Tax ID #: 2426-502-0004-000-3
Site Plan Name: Williams Fence Install
Project Name: Install Chain Link & PVC Fence
Setbacks Front2%4" Back: 2" -4 -
DETAILED DESCRIPTION OF WORK:
Right Side: 2"-4" Left Side: 2"-4"
Lot No.
Block No.
Install 212 LF 5 foot tall chain link fence and install 203 LF of foot tall PVC 3 -rail fence and lea 12
foot walk gaffe this material supplied by customer. 4 &
CONSTRUCTION INFORMATION:
Additional work to be Performed under f his permit— —check a app y:
HVAC Gas Tank Gas Piping Shutters Windows/Doors
L=1 Electric Plumbing O Sprinklers E Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4.280.00
Sq. Ft. of First Floor. _
Utilities:Sewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dane Williams
Name: Darrick Bailey
Address: 3333 S Indian River Dr
Company: A Great Fence
City: Forty Pierce State:FL
Address: 515 NW Enterprise drive
Zip Code: 34982 Fax:
City: Port ST Lucie State: FL
Phone No. 772-519-1842
Zip Code: 34986 Fax: 408-0272
E-Mail:danewilliamsllc@kw.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)
Is L. _A ______- - .- ------------
State or County License: 23954
__ — _. _ ..,...,.,...,,..... ,.i.✓vv 1w1 yr 0 nG�Wnwcu I.uucc us 4ummencemenz is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
BONDING COMPANY:
Name:
Address:
CItV.
zip: Phone:
State:
x Not Applicable
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 fust inspeytion. If you intend to obtain financing, consult with lender or an attorney before
commenciM work of recording your Notice of Commencement.
as Agent
TE OF FLORII
JNTY OF ----
The forgoing instrument was acknowledged before me
this 7 day of I'�1t4� Cf/ 20 [ by
STATE OF FLORI
COUNTY OF --
The forgoing instrument was acknowledged before me
this 7 day of march 20 ( by
Dar ick Bailey '1
Dafr ick Bailey
(Name of so acknowledging)
(Name of per ac nowledging )
[Signature of Not P II tate of I rids
(Sign ure o ary P' u- tate o lorida)
Personally K wn x OR Produced Identification
Personally Known OR Produced Identification
Type of Id tification Produced
Type of Identification P
20 a� P" CR TaAjL BISHOP
FFossls
Commission No. FFQ*0- -, RYSTI �e �SFiOP
Commission No. MY co MISSION , FF039152
1' rv1Y COMMISSION #FF039152
"eoFc;: EXPIRES July 24. 2117
EXPIRES July 24. 2017
{407} 3930153 Florida�fotarySanice.com
Revised 07/1 `1153 Floridallotar service corn
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
r-�