HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 22,2018
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1SS3 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5604 Paleo Pines Circle, Fort Pierce, FL 34951
Legal Description: HOLIDAY PINES S!D-PHASE 1-LOT 39(MAP 13112S)(OR1219-1818)
Property Tax ID#: 1312-500-0040-000-8
Lot No. 39
Site Plan Name: Reiff Fence Install Block No
Project Name: Install Wood Fence
Setbacks Front25*' Back; 25-;-' Right Side: 2-4.. Left Side: 24"
DETAILED DESCRIPTION OF WORK:
Install 50' LF of 6' tall wood fence with tea 5' walk gates.
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NSTRUCTION INFORMATION:
nitiona wor to e er orme un er t is permit—c ec a apply:
LJHVAC Gas Tank ❑Gas Piping MGenerator
Shutters W endows/Doors
ElectricF71 Plumbing Sprinklers Roof O Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1,830.00 UtilitiestSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Richard Reiff Name: Darrick Bailey
Address;5604 Paleo Pines Circle Company: A Great Fence
City: Fort Pierce State:FL Address: 751 NW Enterprise Drive
Zip Code: 34951 Fax: City: Port ST Lucie FL
State;
Phone No.466-9688 Zip Code: 34986 Fax: 408-0272
E-Mail:kndreiff@att.net 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
]f value of cons#ruction is$2500 ar mare,a RECCIRDED 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 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 work or recording our Notice of Commencement.
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Sign r�41_
r Less ee/C,4ntt ctor as Agent for Owner Signature /Cons IVL`` ease Hold
TE IDA STATE ,F F , RIDA
UNTY OF ,sTr� COU TY 0 5 <p
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 22 day of February 20 18 by this 22 day of February ,20 i 8 by
Darrick 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 r�
(Signature of NotarrA1 State of Florida } (Signature of Notary Public- to Florida)
Commission No. c� �fils'4 CRYSilA BISHOP Commission No. oci 6a,j " CRYST
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REVIEWS F UP RVIS R PLANS VEGETATION SEA TUR E
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. S/2/17
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