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HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: December 27, 2017 Permit Number: - _ � • • �irir.i 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: 5306 Myrtle Drive, Fort Pierce, FL 34982 Legal Description: INDIAN RIVER ESTATES-UNIT 07-BLK 49 LOT 20(MAP 34/02S)(OR 275-1025;984-474) Property Tax ID#: 3402-608-0322-000-2 Lot No. 20 Site Plan Name: Paylor Fence Install Block No 49 Project Name: Install Chain Link Fence Setbacks Front 25+' Back: 24" Right Side: 24" Left Side: 24" LDETAILED DESCRIPTION OF WORK: Install 77' LF of 4' tall chain link fence, lea 4'walk gate, and 'lea 6' walk gate. CONSTRUCTION INFORMATION: Acid ltiona I work to beo—effo—rmed under this permit—check all apply: ®HVAC Gas Tank E]Gas Piping In_Shutters windows/Doors 11 Electric Plumbing Sprinklers E Generator L1 Roof Roof pitch Total Sri. Ft of Construction: S. . Ft.of First Floor: Cost of Construction:$ 1,690.00 Utilities:]Sewer Septic Building Height: OWNER LESSEE- CONTRACTOR: Name Lisa Paylor Name: Darrick Bailey Address:5306 Myrtle Drive Company: A Great Fence City: Fort Pierce State:FL Address: 751 NW Enterprise Drive Zip Code: 34982 Fax: City: Port STLucie State:FL Phone No.224-0748 Zip Code: 34986 Fax: 408-0272 E-Mail:1...Paylor@yahoo.com Phone No. 812-0223 Fill in fee simple Title Holder on next page(if different E-Mail: info@agreatfence.com from the Owner listed above) State or County License: 23854 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SU.P> L [ 1 QJ 1 1 T k LIEN�:�#' �N� ►R�h i�G?N: DESIGNER/ENGINEER: 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. 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 rk or recording our Notice of Commencement. Signat e o e Lessee on actor as Agent for Owner Signature of nt ctor/Li ense Id r ST E OF FLORIDA STATE OF FLORIDA / COUNTY OF -- COUNTY OF -,-- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 27 day of Decemher 20 t7 by this 27 day of December 20 11 by i t>_Kt LLL ` �3irL Lt�Y ! h�LLtL Q = l[� `I 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 (�-I ,I ---7e 4 a,__4 4,1--- (Signature of Notary P lic- t (Signature of Notary Publ ,�,r cY CRYSTAL Y BISHO Wv_, '^ C YSTAL Y B ;g. �. Commission No. GG1 16 ($p� fission No. GG127 ;" My��IISSION#GG127 t 1GfY OMIuE15SIQN#GCs1 �ri��I' EXPIRES July 24.20 7 ,�` `. 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