HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November 17, 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 El
PROPOSED IMPROVEMENT LOCATION:
Address: 5211 Birch Drive, Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES -UNIT 07-BLK 50 LOT 36 (MAP 34102S) (OR3717-2791)
Property Tax ID #: 3402-608-0384-000-4
Site Plan Name: Noble Fence Install
Project Name: Install wood Fence
Setbacks Front 25+. Back: 2-4"
Right Side: 2-4" Left Side: 2-4"
Lot No. 36
Block No. 50
I DETAILED DESCRIPTION OF WORK: I
Install 202' LF of 6' tall shadow box wood fence with 2ea 5' walk gates.
CONSTRUCTION INFORMATION:
Additional work to be
performed under tispermit—c ec all appy:
®HVAC LJ Gas Tank DGas Piping_ Shutters E]Windows/Doors
11 Electric Plumbing Sprinklers I Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,380,00
S Ft. of First Floor: _
Utilities: Sewer1:1 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Vena Noble
Name: Darrick Bailey
Address: 5211 Birch Drive
Company: A Great Fence
City: Fort Pierce State:FL
Zip Code: 34982 Fax:
Phone No.201-6435
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
Ivnuc LPI 9AJ1ls4-fuC[IVn is acauu or more, a KtLUKutu 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 lender or an attorney before
commencing ►york or recording your Notice of Commencement. # . y
as Agent for Owner
STATE OF FLORI
COUNTY OF --
The forgoing instrument was acknowledged before me
this 17 day of November 20_ by
Barrick Bailey
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
r"t, '�l
(Signature of Not
ablic- State of Florida )
Commission No. :oto" ° JSe�}RYSTAL Y Bl;
MY COMMISSION # C
EXPIRES July 24,
rise
STATE OF FLORIDA
COUNTY OF —i -
The forgoing instrument was acknowledged before me
this 17 day of November Y Zp_ by
oamck Bailey
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -
fission No. cc127618 cAiq4)AL Y BISHOP
�= My COMMISSION # GG1276
*'�•.. �� EXPIRES J I
Rev. 8/2/'17
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SUPERVISOR
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PLANS
VEGETATION
SEA TURTLE
MANGR
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/'17
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2240 NORTHEAST DIXIE HIGHWAY
JENSENBEACH FLORIDA 34957
PHONE' 772-334-0868 - 25WIL: WATSONKILLANEQGA4AIL.COM
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SURVEYING AND MAPPING, INC
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JENSENBEACH FLORIDA 34957
PHONE' 772-334-0868 - 25WIL: WATSONKILLANEQGA4AIL.COM
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