HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �l
Date: May 26,2017 Permit Number:
•
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 $-
PROPOSED IMPROVEMENT LOCATIQN
Address: 2511 S Jenkins Road,Fort Pierce, FL 34947
Legal Description: To long to list
Property Tax ID#: 2324-144-0001-000-1 Lot No.
Site Plan Name: Norvell Fence Install Block No.
Project Name: Install Chain Link Fence
Setbacks Front 10' Back: 10' Right Side: 2-4" Left Side: 2-4,.
DETAILED DESCRIPTION,•.OF;WORK k
Install 200' LF of 4' tall chain link with lea 14' double,drive gate.
CONST,RUCTION.;INFORMA_ION: ',''
f
Additional work to be erformed under this permit—check all appy:`
HVAC L__I Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric F� Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: Sqn
of First Floor:
Cost of Construction:$ 2,290.00 Utilities. Sewer Septic Building Height:
O+INIVER/LESSEE CONTRACTOR:. ,
Name Patty Norvell Name: Darrick Bailey
Address:2511 S Jenkins Road Company: A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise Drive
Zip Code: 34947 Fax: City: Port ST Lucie State:FL
Phone No.464-2860 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@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.
SUPPLEMENTAL' CONSTRUCTIONLIEN LAWy�INFRMATION
DESIG NERANGI NEER: 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 your property.A Notice of Commencement must be recorded and posted on the jobsite
before the fir spection. If yo . tend to obtain financing,cosuit with lender or an attorney before
commenciog Work pr re rdin our Notice of Commencemein.
J
s
Signa re f rs a/Co tractor as Agent for Owner7OUNTY
to of tractor cens Holder
S T O F ORI A OF LORIDA
W
TY F sTda F �*���
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2 LQ day of 1A%(%( 20 t'l by this ze day of May 20 L-7 by
Darrick Bailey 1 Darrick Batey
(Name of rson acknowledging) (Name of n acknowledging)
(Signature of No Public-State of Florida) (Signature of NotarynPlictate.of FloridaPersonallyKno xOR Produced Identification Personally KnownR Produced Identification
Type.of Identifica n Produced Type of Identification Pro duced
pY P
Commission No. FFo3s�sz ,*o<"""°"e.";t C( TAL BISHOP Commission No. FFa3s,5 °p CRL BISHOP
• .1 " MY COMMISSION#FF039152
=: .
MY COMMISSION#FF039152 L?�:``a'o`.,`
or��oP• EXPI ES J
••`• "'• EXPIRES jddr)3n8.0153 FloridallotaryService.com
Revised 07/15/201 (40;')398,0153 FloridallotaryService.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS