HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED:FOR APPLICATION TO BE ACCEPTED
Date:April 24;20f8 Permit Number:
it irii1
Building Perrhit,App'lkation
Planning and Development Services
Building and Code,Regulation Division.
2300,Virjinia Avenue,Fort
fFL 34982
Phone:(772)4621553 Faxte772 '462
_ ( }462457s Commercial Residential x
PERMIT APPLICATION FQR: Fence
PROP{1SED IMPRaVE(t(IENT
.Address: 5741:Sterling Lake DriVe;Fgi#Pierce,FL" 3-4851
Legal Description:.PORTOFINo SHORES(PB=43»6)LOT 488(OR,3948-2633)
Property Tax'il)#: 1312-501-01,4MOO-1 Lot No. 488
Site Plan Name:Thomas Fence Install Block No.
Project Name;InstaII.PVC Fence
Setbacks Front 25*1
Back: 2-4" Right Side: 2-4° Left°Sides 2-4
ID)rTAILED
+,...'
77,n7
Instals 78` LF.of 8'tall PVC privacy fence with lea V walk,gate.
1CONSTRUCTION INFURIVIAT(QN
t,
Additional wor to a er orrne_ un er tnis,permit-c ec '°a. app y:
C)HVAC Gas Tank Gas Piping _Shutters Q Windows(Doo,rs-
11 Electric 0 Plumbing U Sprinklers [jGenerator []Roof 'Roof pifch
Total Sq. Ft of Construction: Sq.Ft.of First(..Floon..
i
Cost of Construction:$ 2175.00 Utilities: Sewerf leptic 'Building Height:
=OWNER/LESSEE. r k �
,sCONTRACTCIR
NameDesiraeeThomas Name: DarrickBailey
Ad'dress:5741 Sterling Lake'Drive Company: A Great.Fence
i City: FortPierce State:FI Address:,751 NW Enterprise.Drive'
f Zip Code:34951 Fax: City: Port ST Lucie State-:FL
Phone No.347-992-6726 Zip Code: 3498,6 Fax..4P8-0272
E-Niall:'desiraeethomas04@hotmail.com phone No. 812=0223
Fill in fee�tiiriple Title Holder on next Page(if different &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"LIENF'LAUV (NFORIVIATION"` °
t,... .h
.DESIGN ER%ENGINEER.- _Not ApplicableM;ORTGAGE COMPANY: _Not Applicable
Name:':- Name:
Address: Address:
City: State: City: State:
Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Naf e- .Name:
Addre"ss:.- Address:.
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR.AFFIDVIT:Application is hereby'madg to obtain a permit to do thework 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 subjectstructure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenantsthat.may.restrict or prohibit'such
structure.Please consult with your Home Owners.Association and.-review your deed:for:any"restrictions.which may'apply.
Irixonsideration.ofthe,granting.of this requested permit,I do hereby agree'that. will;in all respects,:perfo m the work
in accordance'with the.approved plans,the Florida Building.Codes and St.Lucie.County Amendnierits.
The following building permit applications are exempt frorn'u..ndergoing a full concurrency review:room'additions,
accessorystructures;'swimming pools,fences„walls,,signs;screen-rooms and accessory uses,to another non=residential use.
WARNING TO,:OWNER:Your_failure�to R1.ecord a Notice of Commencement may result m,<yourpaying twice,for
improvements;to your property..A Notice of•Commencement must belrecorded an,dposted::6'6`66.jobsite.
b'efor`e:the6rst.=inspection If.you intend to:obtain financing,consult with lend ,r or an attorney before
commencin wog -or'recordin our Notice of Comm en"cement.
/Av/
.
Signaturf 0 ssee/C .tr ctor.as Agent for'Owner Signature of Mirctor/L' ense:Hof r
STA: O.F_FLOR A STATE OF FLORIDA
CO. NTY OF-W— COUNTY OF nW.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before:me
this 24 day of A01 .20'/,9by this 24 day of A011 201 3 b
— � — . y
C)
Name of person making statement Name dUoerson makingstatement
Personally Known ,x OR I?roduced:ldentification Personally Known x` OR Produced Identification
Type ofidentification TypgW Identification
Produced Produce6
(Signa Notary'Public to of Florida (Signature of Notary Public lob TAL Y DI$HOP-
TY ` .
ITAL Y BISHOP
Commission No. oct2761 ' +�`� ccrzisiaX 'r=MY Cf%NI$SION#:GG12161
�ISS10N4GG12761 ;;ommission No.. '� ''!
;EXPIRES Juiy 24,2021 n;,rEXPIRES'July.24,.2029
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW 'REV.IEW REVIEW REVIEW
DATE
,RECEIVED
DATE
COMPLETED
Rev.•8/2/17