HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 20, 2017 Permit Number:
; J
0520L& WM
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
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5511 Raintree Trail, Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT-09-BLK-59 LOT 33 ([VIAE' 34f11N) (OR 3657-1925)
Property Tax ID #: 3402-610-0013-000-0
Site Plan Name: Hronek Fence Install
Project Name: Install Wood Fence
Setbacks Front25t* back: 2-4" Right Side: 2-4" Left Side: 2_4"
DETAILED DESCRIPTION OF WORK:
Remove cold fence, install 258' LF of 6' tall wood fence with lea 5' walk gate.
CONSTRUCTION INFORMATION:
AdditionalwOrKtOoeperTormed under tnls permit -- cr
❑Gas Piping
11 Sprinklers
HVAC LJ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 5,070.00
all that apply:
_ Shutters
❑ Generator
SFt. of First Floor:
Utilities: Sewer E Septic
OWNER/LESSEE:
Name Paul Hronek
Address: 5511 Raintree Trail
City: Fort Pierce State:FL
Zip Code: 34982 Fax:
Phnna No_971-8518
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Darrick Bailey
❑i�
Lot No. 33
Block No. 59
E]Windows/Doors
0 Roof Roof pitch
Building Height:
Company: A Great Fence
Address: 751 NW Enterprise Drive
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 408-0272
Phone No. 812-0223
F_{VIaiI• info@agreaffence.corn
State or County License: 23954
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:.
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
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 apermit 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 pians, 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
-ommenclnRwom of Fecoru
STATE OF FXORII
COUNTY OF --
lljvtlLtC UI I.VIII
ctor as Agent for Owner
The forgoing instrument was acknowledged before me
this 20 day of October , 2011 by
Darrick Bailey
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary ublicF.B'Eate of Florida )
'�`Y: TAL Y BISHOP
Commission No. a27s,s 'il�'Se-_
.*=my COMMISSION # GG1276
EXPIRES July 24, 2021
Iu-Jus
Signature of
STATE OF FLORI
COUNTY OF -9
The forgoing instrument was acknowledged before me
this 20 day of October , 20 0 by
Barrick Bailey
Name of person making statement
Personally Known x OR Produced Identification
Type of identification
Produced
-Cf'4A - .--
(Signature of Notary Public- a Oiorida }
commission No. cc,z�s,a
gWPTAL Y BISH'O
MY COMMISSION # GG127
il
,a EXPIRES July 24, 2021
F
EVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
ATECEIVED
DATE
COMPLETED
Rev. 8/2/17
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COPYRIGHT 2014
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