HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COIVIPLETED'FOR:APP.LICAT.ION TO BE ACCEPTED 0s,
Date: 201.8 024Z � � �' Permit Number:
Building Permit Application
Planning and.Development.5ervices
Building and Code Regulation Division
2300 Virginia:Avenue,:Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(712)4624578'. COrArh'Orcial Residential X
PERMIT APPLICATION FOR:: Fence
Address: 9513 Laurelwood Court,Fort-Pierce FL.34951
Legal Description: MONTE CARLO COUNTRY'CLlJ6-UNIT THREE.-LOT 246:(OR1.772-2041)
Property Tax ID.W: 1327-701-006.6-000-9 Lot No: 246
Site'Plan Name::,HaII:Fence Install Block No.
Project Name: Install Chain Link Fence,
Setbacks Front. 25+` Back: 25+� RightSide: 25+' Left:Side,10`
T4 v S'w`F t�D
Er.+< i.. >
i ETAIL-EDDSCARIP�-TION
-fi
Install 1-36' LF of 4'tall black chain link_fence with ll ea 5'walk gate.
CO�V5TRlJAdaCTiONY
Itiona wor : o; e e orme un er:t is
permit——c ec ;a t appy.
❑HVAC Gaa'Tonk ❑Gas Piping _.Shutters t [:]'Windows/Doors
Electric 0 Plumbing �Sp'rinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:, S' . Ft.,of First Floor:,-
Cost-of Construction:$42,190.00 Utllities: Sewer ElSeptic. Building Height.-
6,
eight.-
'-'�-,-
NameCatherine.Hall Name: Darrick'Bailey
Address:9513 Laurelwood Court Company AGreat Fence
'City ;Fort Pierce State:,FL Address:.751 NDN Enterprise.Drive:
ZIP-Code: 34951 Fax: City:Port ST Lucie State: FL
Phone No.466-6878 Zip`Code.34986: FaX:408-0279,
cmthall@comcast.net 812-0223
E-Mail: Phone=No.
FI1I`In fee simple Title Holder on next page(if different E-Mail: Info@agreatfencecom
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.
SxUPPL'EMENTAL�CONTRUCTtONt L'lEr�V LAW (NF'ORMTIO,Nry ;� s= � H h
..... .......... ..,... ,,fir.._ _.. ., ...,,�r.. ,....,: , ._:._. . -
DESIGNER/ENGINEER: x Not Applicable. MORTGAGE"COMPANYr _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.AFROVIT: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;:.bylaw's or'ah coVenants that may restdc't or prohibit such
structure.Please consuit with youtrHorne Owners,Association and,reviewyour deed for any restrictions which may.aI5.
Inconsideration of the g"ra'nting ofthis requested;pemit,I do hereby:agree that I will,In all;respects;;pei•form;the,work
inaccordance-with'the approved plans,fhe;Florida Building Codes-and St.L'ucie;:County Amendments'.
.
The following:building permit applications are,exempt from,undergoing a'full concurrency review:roomfadditions,
accessory structures,swimming pools,fences,walls,signs;screen rooms,.andaccessory uses to anothernon-residential-use
WARNING TO OV
V4YER:Your failure to Record:a.Notice of Commencement may:result in yourpaying;tw..Ice for
iimprovements t your-property.A Notice'of Commencement must b'e tecorded`and posted on the`jobs'ite
before the firs nsp ction. If you intend to
before financing,.consult with.lender gran attorney before
commencingork-•r recordin our Notice.of.dommencement.
1,17
Signature f w e/r�. es a/,Conti cto s Agent for Owner 5lgnatu" f-C " r o/LicenseP161
STATE FL RI A' STAT "OF ORI A
COUN OF ��. - CO TY OF'",w
The.:forgoing instrument was acknowledge_d before:me The forgoing Instrument was acknowledged before me
f-n
this,3Q day oPril :20 31 by this 30_day of PO .2018 by
DarrickBailey [ardck Bailey
Name of person making statement. Name of:pembri:making,statement
Personally Knownx. OR Produced..Identification Personally Known.,. X OR.Produced,Identification
Type of Identification. Type-of Identification
Produced' Produced
(Signature of No.ar u i Ota of Florida) (Signature of Notary Public- e o
f
Commission No.�ao127s ommission.No. GG127 NA
Yw°s< CRYSTAL Y SISHOI? ;►P* . C.RYS. A!. BISHOP
f '-MY.GOMMISSION,#G.01276 8' '�
4:. ri MY COMMISSION#00127618
REVIEWS FRON PLANS VEGETA -- -
.COUNTER REVIEW- REVIEW REVIEW REVIEW REVIEW 'REVIEW
.DATE
:RECEIVED"
DATE
COMPLETED..,
Rev.8/2/17