HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August 29, 2017 Permit Number:
- J 7-
w
- 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: 9438 Windrift Circle, Fort Pierce, FL 34945
Legal Description: PALM BREEZES CLUB (PB 49-32) BILK 2 LOT 10 (OR 3809-1573)
Property Tax ID #: 2310-500-0052-000-2
Site Plan Name: Medina Fence Install
Project Name: Install Wood Fence
Setbacks Front25+' Back: 2-4"
I DETAILED DESCRIPTION OF WORK:
Right Side: 2-4" Left Side: 224"
Install 65' LF of 6' tall wood fence with lea 5' walk gate.
Lot No. 10
Block No. 2
CONSTRUCTION INFORMATION:
Additional work toe e orme un er t is permit — check a appy:
HVAC 11 Gas Tank []Gas Piping _ Shutters Windows/Doors
Electric 11 Plumbing Sprinklers Generator �' Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1,690.00
S Ft. of First Floor: _
Utilities:Sewer L,. ] Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jose Medina
Name: Darrick Bailey
Address: 9438 Windrift Circle
Company: A Great Fence
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No.985-9226
Address: 515 NW Enterprise Drive
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 408-0272
Phone No. 812-0223
E-Mail:jose_mj@msn.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: info@agreatfence.com
State or County License: 23954
IT value or construction is �,Gsuu or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 5t. 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 firq inspection. If you intend to obtain financing, cons It with lender or an attorney before
commencing% ork or recording your Notice of Commencement./ i
Signat e ontractor as Agent for Owner S0 ur ontracta ens older
STA E F L I A ATE FLORID
C"1
O N Y F Cr;-� COUNTY OF �Tl�m
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 29 day of August20.1-1 by this 29 day of August 20 t-7 by
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature
Commissi,VNo_ GG12761l .'
'AI_ Y BISHOP
MY CO"WION # GG127618
EXPIRES July 24, 2021
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Name of person making statement
Personally Known x OR Produced identification
Type of Identification
Produced
{Signature of Not u i - Ida )
CRY
Commission No. G12761 ._ MY( Of�, ss Y 131$HOP
=',?Q, GG127618
EXPfRES July 24, 2021
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
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