HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR.APPLICATION TO BE ACCEPTED j/y
Date: May 2,2017 Permit Number:
Buo'Id1ng 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
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Address: 13017 5.Indlan River Drive,Jensen Beach,FL 34957
Legal Description::To long to list
Property Tax ID#:4509-120-0002-0004 Lot No.
Site Plan Name:.Webster Fence Install
Block No.
Project Name:Install Chain Link Fence.
Setbacks Front25+' Back:.25+' Right Side: 2-4. Left Side: 2-4"
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Install two hundred seventy one feet of four foot tall chain link fence with two five foot,waik gates.
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Ittona wor to e e orme un er Is;permit—c ec a appy:
HVAC �Gas Tank Gas Piping Shutters. Q Windows/Doors
,Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: Scl.Ft.of First Floor:
Cost of Construction:$2,410.O0 Utilities: SewerSeptic Building Height:
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NameAllan Webster Name: DamcKBailey
Address:13017 S.1ndian River Drive Company: A GreatFence
City: Jensen BeachState:FL Address: 515 NW Enteiprise:Drive
Zip Code: 34957 Fax: City: Port S7 Lucie State:FL
Phone No.954=93.1-2513 Zip Code: 34.980 Fax: 772-408-9272
E-Mail:allanjroofing@attnet Phone No..772'812-0223
Fill in fee simple Title Holder on next page if different E-Mail: infdQagreatfence:com
from the Ownerlisted above) State-or County License: 23.954
Ifvalue of construction is$2500 or more,a RECORDED Notice of Commencement isrequired.
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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: i 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 thepermit holder to build the subject structure
which is in conflict with any applicable.Home Owners Association rules,bylaws or and covenants thatmay restrict or prohibitsuch
structure.Please consult with your Home Owners Association and review your deed for any restrictions which mayapply.
Inconsideration 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 CountyAmendments..
The following building permit applications are exempt from undergoing a full concurrency room additions,.
accessory structures,swimming pools,fences,.walist 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 inspection. If you:intend to obtain financing,consult with lender,or an`attorney before
commencin ork or recordin our Notice of Commencement.
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Sig7Tt,OF'.LORIDA
a er/Lesse / tractor as Agent for Owner Signa r f ontracto 3 e Holder
ST STT O FLORI
COUNTY F`�w� C UN OFua�
Theforgoing instrument was acknowledged before me The forgoing instrumentwas acknowledged before me
this 2 ,day of MAY 20 L�I by this 2_day Of""ay ZO C7 by
Dardck Balley 1 Dardcgr Bai;ay .
(Name o son acknowledging.) (Name o n-acknowledging)
(Signature o Nota :P c- a of Florida) (Signature of Notary -State.:of Florida
Personally Kno x OR.Produced Identification Personally Kno X OR Produced Identification
Type of Identi tion Produced Type of[dent] cation P oduced
Commission No. FF039162 FFO 2�pnrv� ��SS
( SIAL BISHOP ommissio No., CRYSTIL FBHOPM1'COMMISSION uFF03915MyCOMMISSION IFF039152
rfocit°,.:r EXPIRES Julys 24,2017
.Revised 07/15/2014 .(107)398.0153 FlorldallotaryService.com (407)398.0159.
Flotidallotary•Sorvice.com
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