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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: September 28, 2017 Permit Number: fil- s it gi 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 A,MrPcc. 155 Imperial Way, Fort Pierce, FL 34951 Legal Description: BEL-AIRE ESTATES BLK 4 LOT 8 (OR 3994-1842) Property Tax I D #: 1312-701-0066-000-3 Site Plan Name: Mercado Fence Install Project Name: Install Wood Fence Setbacks Front 25+' Back: 22_4" Residential X Right Side: 24" Left Side: 2-4" Lot No. 8 Block No. 4 DETAILED DESCRIPTION OF WORK: Install 228' LF of 8' tall BOB wood fence with 1-5'walk gate and 1-10' double drive gate. CONSTRUCTION INFORMATION: CONTRACTOR: NameRichard Mercado Name: Darrick Bailey Additional wor tobene Orme under this permit --check ©HVAC F] ❑Gas a app y: Shutters Windows/Doors E -Mail: info@agreatfence.com _� Gas Tank Piping _ 11 Electric 0 Plumbing Sprinklers LJ Generator Roof Roof pitch Total Sq. Ft of Construction: 4.940.00 of First Floor: SFt. n Building Height: Cost of Construction: $ Utilities: Sewer LJ Septic OWNERAESSEE: CONTRACTOR: NameRichard Mercado Name: Darrick Bailey Address:4 Luis Dr City: Egg Harbor Twp State: NJ Zip Code: 08234 Fax, Phone No.609-487-0883 Company: A Great Fence Address: 751 NW Enterprise Dr City: Port ST Lucie State: FL Zip Code: 34986 Fax: 408-0272 Phone No. 812-0223 E -Mail: 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 If value of construction is 52500 or more, a KILLUMMIJ Notice or w ommencement 1s requ+reu. SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION:: DESIGNER/ENGINEER: NIA Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 thepermit 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before rnrnmpnring wnrk or rerordin-a vour Notice of Commencement. 4 Signature/p ov/y(erAee/contraylor Agent for Owner /X// IX7 Signature of ntr for 'cense of r STAT OF FLORIDA STATE FLORIDA COUNTY OF --- COUNTY OF STU- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of September 20 17 by this 2s day of September 20 t1 by ,28 i+ 1 LL"( i( lir LLQ% Name of person making statement 'Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public St o .a CRYSTAL Y BI :i•.. re of Notary P ti c• a " o:EX Y BISHOP O = VIM1SS10N # GG127g18 C©mm1553Qn NO. GG127618 r` 01'COMMISSION # fr: GCh9j 51Qn NO. 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