HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 20, 2017 Permit Number:
wi �
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 IMPROVEMENT LOCATION-
Address: 8301 Penny Lane, Fort Pierce, FL 34951
Legal Description: ADAMS RECORD PLAT (PB 61-1) LOT 1 (OR 3980-1711)
Property Tax ID #: 1302-600-0002-000-6 Lot No. 1
Site Plan Name: Le Fence Install Block No.
Project Name: Install Wood Fence
Setbacks Front Z5+' Back: 10+' Right Side: 2-4" Left Side: 2-4"
DETAILED DESCRIPTION OF WORK:
Install 274 LF of six foot tall board on board wood fence with two five foot walk gates and one ten foot
drive gate.
CONSTRUCTION INFORMATION:
Add itiona wor to _ be orme un er t is permit-- c ec a appy:
Shutters Windows/Doors
❑HVAC L_J Gas Tank ❑Gas PipingOGenerator
11Electric❑ Plumbing L]Sprinklers ❑ Roof Roof pitch
Total Sq. Ft of Construction: Sq. of First Floor:
Cost of Construction: $ 4,980.00 Utilities: LJ Sewer ❑ Septic Building Height:
P g g
O111i'NERAESSEE: CONTRACTOR:
NameMoan 9 Jimmy Le Name: Darrick Bailey
Address: 8301 Penny Lane 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.215-833-6999 Zip Code: 34986 Fax: 408-0272
E-Mail: Phone No. 812-0223
Fill in fee simple Title Holder on next page (if different E-Mail: info@agreaffence.com
from the Owner lister! above) State or County License: 23954
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: N,A Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
certify that no work or installation has commenced prior to the issuance of a permit.
N/A Not Applicable
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 thefir t inspection. If you intend to obtain financing, consult with lender or an attorney before
comment= wo or.Fecordina vour Notice of Commencement./A f 1
as Agent
STATE OF FLORIDA
COUNTY OF --
The forgoing instru t was acknowledged before me
this 7-6 day of a�!l�Yten�� J 2017 by
Derrick Bailey 1
(Name o erson acknowledging)
(Signature of ration
P lic- State of Florida )
Personally Knx OR Produced Identification
Type of Iden iProduce
Commission No. FF039152
Revised 07/15/2014
Sigr}�tur "ofZCRIDA
tractor/Gcens�+Holder
STAT OF.
COUNTY OF $r «,-
The forgoing instrument was acknowledged before me
this 20 day of April 20 1'7 by
Darrick Salley
(Name of pmW acknowledging)
(Signature of Notify Puplic- State of Florida )
Personally
Tuna of Id(
P 'l-".. CRYSTAL BISHOP
(SeQCOMMISSION #FFo 9(' T ission No.
,
' Jr
EXPIRES July 24, 20 7
OR Produced identification
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VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
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REVIEW
DATE
COMPLETE
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