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HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: February 20,2018 Permit Number: sOm 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: 6604 Santa Clara Blvd, Fort Pierce, FL 34953 Legal Description: LAKEWOOD PARK-UNIT 9-BLK 116 LOT 9(MAP 13/01 N)(OR 3729-188) Property Tax ID#: 1301-611-0336-000-7 Lot Na. 9 Site Plan Name: Van Lanen Fence Install 116 Block No. Project Name: Install Chain Link fence Setbacks Front 25+' Back: 2-4„ Right Side: 2-4„ Left Side: 2A" QETAILEQ QESCRIPTION OF WORK: Install 227' LF of 5' tall chain link fence lea 5' walk gate and lea 10' double drive dare. CONSTRUCTION INFORMATION: AUaitional work to e er orme un er this permit—c ee a apply: E]HVAC Gas Tank E]Gas Piping _Shutters Windows Doors Electric ©Plumbing Sprinklers El Generator E Roof O Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction:$ 2,405.00 Lltilities:0Sewer❑Septic Building Height: OWNERf LESSEE: CONTRACTOR: Name Thomas Van Lanen Name: Derrick Bailey Address: Santa Clara Blvd A Great Fence Company: City: Fort Pierce State:FL Address: 751 NW Enterprise Drive Zip Code: 34951 Fax: Port ST Lucie City: State;FL Phone No.330-353-1811 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.com 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 LAW INFORMATION: 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 ruies, 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,work or recording our Notice of Commencement. Sign re f-b n rf Les eJ ontractor as Agent for Owner Signatu of nt .or/Lice e Hol er S ATE OF FLORIDA STATE 0 FLORIDA COUNTY OF STLuce COUNTY OF $'Ln= The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 20 day of February 20 A? by this 2R day of February 20 fA by Carrick Bailey Carrick Bailey 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 (Signature of Notary P Iic- ate of orida) (Signature of Notary Publ' t of Florida) Commission No. GG 76i Commission No CRYSTAL..Y BISHOP `fib+�•^�,+ -CRYSTAL Y BIS OP MY commiSSION#GG127618 =' MY CpMM13310N#GG127618 REVIEWS FRO PLANS VE ROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 6604 Santa Clara Blvd Iq 6r %Fx[cL .1Ar f„ zL 22 L PItLL i1i tcic Offfln! Lrn/K Lt.+r '7f 1 L IJ `Lts t[� G ss� f 16 P r f , a �G �.w : I Imagery©2018 G0091e,Map data 02018 Goggle 20 ft L.,qAL C J R X V—jm 46mL G r s C1AiL 96