HomeMy WebLinkAboutSt Lucie County Permit info - Shari Bandowski ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 22,2018 Permit Number.
a
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: 6004 Pinetree Drive, Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 02-BLK 12 LOTS 10 AND 11 (MAP 34111 S)(OIL 1288-1307-835)
Property Tax ID#: 3402-603-0179-000-9 10& 11
Lot No.
Site Plan Name: Bandkowski Fence Install
Block No. 12
Project Name: Install Chain Link Fence
Setbacks Front25+" Back: 2-4f" Right Side: 10, Left Side: 25+"
DETAILED DESCRIPTION OF WORK:
Install 128' LF of 4' tall green chain link fence with lea T walk gate and lea 10' double drive gate.
[COSTR�U�CT �NLINORM�TlN:
ionar orme er t is permit M-c ec a app y:
C�HVAC �Gas Tank Gas Piping _Shutters Windows/Doors
n Q
LJ Electric ❑ Plumbing Sprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 2,400.00 Utilities: Sewer OSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
NarneShari Bandkowski Name: Darrick Bailey
Address:S42 W34150 Hidden Valley Drive Company: A Great Fence
City: Dousman State:wl Address: 751 NW Enterprise drive
Zip Code: 53118 Fax: Port ST Lucie
City:
Phone Na.201-5008 State:FL
34986
Zip Code: Fax: 408-0272
E-Mail:shari2228@gmail.corn
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 LAIN 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.
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.
Signatur of /lessee/C r ctor as Agent for Owner Signature Co ra o JLicense d
STA O FLORfDA STATE OF FLOW A
CO NTY OF sT, � COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 22 day of April 24 to by this 22 day of April 24% by
Darrick EWIEY Darrick 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
(Sign e of Notary P lit- to of Florida} (Si nature of Notary P is-State of Florida)
Commission No. Gc12 18 { +t`°v ;� { � STAL Y S SH P �s a: '!" CRY A Y BISHOP
'. MY COMMIS #GG12 8 � mission No, e
_ :MY CONE SN#GG127G18
�� •, EXPIRES July 24,202 EXPIRES July 24,2021
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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