HomeMy WebLinkAboutFENCE PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November 30, 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
PROPOSED IMPROVEMENT LOCATION:
Address: 4708 Buchanan Drive, Fort Pierce, FL 34982
Legal Description: INDIAN.RIVER ESTATES-UNIT-04-BLK 36 LOT 17(MAP 34102N)(OR 1841-2018)
Property Tax ID#: 3402-605-0082-000-8 Lot No. 17
Site Plan Name: Isom Fence Install Block No. 36
Project Name: Install Chain Link fence
Setbacks Front25+' Back: 25+' Right Side: 10+' Left Side: 10+'
DETAILED DESCRIPTION OF WORK: -
Install 144` LF of 4' tall gals chain link fence with lea F walk gate.
CONSTRUCTION INFORMATION:
itiona "For to orme under this permit—c ee a apply:
0 HVAC UGasTank ❑Gas Piping _Shutters Q windows/Doors
11 Electric 0 Plumbing Sprinklers OGenerator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft,of First Floor:
Cost of Construction:$ 1970.00 Utilities:n Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Rick Isom Name: Darrick Bailey
Address:4708 Buchanan Drive Company: A Great Fence
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City: Fort Pierce State:FL Address: 751 NW Enterprise Drive
Zip Code: 34982 Fax: City. Port ST Lucie S#ate:FL
Phone No.332-8999 Zip Code: 34986 Fax: 408-0272
E-Mail: Phone No. 812-0223
Fill in fee simple Title Holder on next page(if different E-Mail: info@agreatfence, orn
from the Owner listed above) State or County License: 23954
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN UAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable
Name: - Name:
Address: - Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: 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.
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 in ection. If you intend to obtain financing, consult with lender or an attorney before
commencing wpdY or recording our Notice of Commencement.
Signatu of r essee/ ntr ctor as Agent for Owner Signature o nt1l
/ ' ense Hoi er
ST E FL IDA STATE FL A COUNTY OF STU- COON OF -L.The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3o day of November 20 t'1 by this 30 day of November ZO I'I by
Darrick Bailey Darrick Salley
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
— C�4_� Z:�2 Ae!�3 — C_' , A—
(Signature of NoZ'618
ublic- tate o lorida {Signature o otary Pub -State of Florida)
Commission No. YSTAL Y BIS m ission No. GG12761
CRY YY BISHOP
MY COMMISSION#GG 276t$
� ;- my COMMISSION#GG127618
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REVIEWS FRONT SUPERVISOR S VEGETATI
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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