HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 15, 2018
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F L O R 1 D A
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: 133 Parliament Court, Hutchinson Island, FL 34949
Legal Description: QUEENS COVE -UNIT 1 BLK 17 LOT E (OR 4029-1369)
Property Tax ID #: 1414-701-0162-000-9
Lot No. E
Site Plan Name: Henry Fence install
Project Name: Install PVC Fence Block No. 17
Setbacks Front25f' Back: 7+' Right Side: 2-411Left Side: 25+'
DETAILED DESCRIPTION OF WORK:
Install 21' LF of 6' tall PVC privacy fence with lea 4' walk gate and lea 10' double drive gate
CONSTRUCTION INFORMATION
ItronaI Workto Be er orme un er
HVAC Gas Tank
LSI Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2,080.00
rm It — cnec
s Piping
Sprinklers
mai apply:
QShutters
ElGenerator
Sq. Ft. of First Floor: _
Utilities. OSewer DSeptic
OWNER/LESSEE:
Name Ralph Henry
Address: 133 Parliament Court
City: Hutchinson Island
State;FL
Zip Code: 34949 Fax:
Phone No. 609-226-6180
E -Mail: rwhsr@aol.com
Fill in fee simple Title Holder on next ,page ( if different
from the Owner listed above)
CONTRACTOR:
windows/Doors
Roof Roof pitch
Building Height:
Name: Darrick Bailey
Company: A Great Fence
Address: 751 NW Enterprise Drive
City: Pod ST Lucie
State: FL
Zip Code: 34986 Fax: 408-0272
Phone No. 812-0223
E -Mail: info@agreatfence.com
State or County License: 23954
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
— -- •--••, •...-•....,-ate,. vn •-%FrILOvI I. App IIcavon is nere by 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 3obsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Commencing wort , r recording your Notice of Commencement.
Signatur f ssee/ n a or as Agent for Owner
5T OF FLO A
COUNTY OF C1e
The forgoing instrument was acknowledged before me
this 95 day of March 20 i?� by
Darrick Bailey
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
{Signature of NotarVOubl
Commission
CRYSTAL Y BISHOP
My COWSSION # GG 127618
REVIEWS FR
� COUNTER REVIEWREVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
der
STATE OF FLORIDA
COUNTY OF S7 -,!z
The forgoing instrument was acknowledged before me
this 15 day of March 20l2? by
Darrick Bailey
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State Florida }
Commission No. Got ti
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