HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November 17, 2017 Permit Number:
4 J
s
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: 9628 Windrift Circle, Fort Pierce, FL 34945
Legal Description: PALM BREEZES CLUB (PB 49-32) BLK 3 LOT 19 (OR 3796-1817)
Property Tax ID #: 2310-500-0087-000-6
Site Plan Name: Oftenbacher Fence Install
Project Name: Install Wood Fence
Setbacks Front 25+' Back: 2-4"
DETAILED DESCRIPTION OF WORK:
Right Side: 2-4" Left Side: 2�4,
Install 115' LF of 6' tall shadow box wood fence with lea 5' walk gate.
Lot No, 19
Block No. 3
CONSTRUCTION INFORMATION:
Additional work to be erformea under this permit— check all appy:
HVAC Gas Tank E]Gas Piping _ Shutters Q Windows/Doors
LJ Electric ❑ Plumbing Sprinklers L^I Generator D Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,265.00
S Ft. of First Floor: _
Utilities: Sewer LSnI Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Chad oitenhecher
Name: Darrick Bailey
Address: 9628 Windrift Circle
Company: A Great Fence
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No.370-5997
Address: 751 NW Enterprise Drive
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
it value of construction is $Z500 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:
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 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 lener or an attorney before
commencing work or recording your Notice of Commencement. ✓
Sign
STA/TE OF FLORIDA
COUNTY OF $ —
as Agent for Owner I Signature of
The forgoing instrument was acknowledged before me
this 17 day of November
20_ by
Garrick Bailey
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notarl"ub%ip?State
STATE OFIFLORIDA
COUNTY OF rT
The forgoing instrument was acknowledged before me
this 17 day of November , 20_ by
Darrick Bailey
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
of Notary Public -Yate of Florida )
Commission No.
12761e ;'%!""f -}'..VAT, tfla
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MY GOMMISStON # GG127fi18
XPEES July 24.2921
REVIEWS
FRONT ZONING SUPERVISOR
PLANS V
RTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
WNDRIFT CIRCLE
35' R/W (IMPROVED)
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EDGE OF PAVEMENT- .,
IS A TRUE AMD CO3Rf?CCTREPRESENTATIONOFA'j
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SURVEY PREPARED UNDER MY DIRECTION.
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SIGMATUREAND AUrHENTICATED ELECTRONIC SEAL,
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6250 N- MILITARY TRAIL, SUITE 102
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SURVEY NOTES
CONCRETE DRIVE CROSSES THE PROPERTY BOUNDARY
AND THE 10' U -E. ON THE NORTHERLY SIDE OF THE LOT -
THERE IS A FENCE NEAR THE BOUNDARY OF THE PROPERTY.
PROPERTY SUPPLIED BY CITY WATER AND SEWER-
PAGE f2� OF 2` PSA' GESS � �j %�`
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SURVEYORS CERTIFICATE
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IHEREBYCER77FYTFL4TTHIS BOUNDARYSURVEY
IS A TRUE AMD CO3Rf?CCTREPRESENTATIONOFA'j
SURVEY PREPARED UNDER MY DIRECTION.
US-TAT-EGFNOTVAL0WITH04ffANAUiHE1V17CATEDELECTRONIC
SERVING ALL FLORIDA COUNTIES
SIGMATUREAND AUrHENTICATED ELECTRONIC SEAL,
ORA RAISED EMBOSSED SEAL AND SIGNATURE
6250 N- MILITARY TRAIL, SUITE 102
WEST PALM BEACH, FL 33407
PHONE (561)640-4800
FACSIMILE (561)640.0575
{SIGNED}
STATEWIDE PHONE (600) 226-¢807
CLYDE 0- McNEAL, PROFESSIONAL SURVEYORAND MAPPER #2663
STATEWIDE FACSIMILE (8041) 741-0576