HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 5,2018 Permit Number:
RECEIVED
Building Permit Applicatiorlil J�,'L 0 6 2T8
Planning and Development Services permitting
Building and Code Regulation Division T t..uci County,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence El
PROPOSED IMPROVEMENT LOCATION:
Address: 7301 Santa Barbara Drive, Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 1-BLK 4 LOT 14(MAP 13/14N)(OR 3800-970)
Property Tax ID#: 1301-601-0045-000-9 Lot No. 14
Site Plan Name: Miller Fence Install Block No. 4
Project Name: Install Chain Link fence
Setbacks Front 24„ Back: 24„ Right Side: 24„ Left Side: 2-4„
DETAILED DESCRIPTION:OF..WORK:'-
Install
ORK:Install 381' LF of 4' tall black chain link fence with 1 ea 5'walk gate and 1 ea 22' rollgate.
CONSTRUCTION. INFORMATION.
Additional work toe nertormed under this permit—check all=appy:
HVAC 0 Gas Tank []Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 13,500.00 Utilities:CnSewerSeptic Building Height:
OWNER/LESSEE: 'CONTRACTOR:
NameJoseph Miller Name: Darrick Bailey
Address:7301 Santa Barbara Drive Company: A Great Fence
City: Fort Pierce State:FL Address: 751 NW Enterprise Drive
Zip Code: 34951 Fax: City: Port ST Lucie State:FL
Phone No.971-2188 Zip Code: 34986 Fax: 408-0272
E-Mail:jmwoodcarver@aol.com 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 LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable pp 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 le der or an attorney before
commencing rk or recording our Notice of Commencement.
Signa u e of 0 n ssee/ tr ctor as Agent for Owner Signature Co ctor/ cense de
ST E O FLORIDA STAT F FLORIDA
LINTY OF ST Lucie COUNTY OF ST Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 5 day of July 201B by this 5 day of July 2019 by
Derrick Bailey Derrick 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
04 4a�
(Signature of Not - (Signature of Notary Public-Sta of F r' a
� �;: CRYT YBISHOP YP YSTALYIS OP
Commission 127 18 S Commission N .; :
zy Y Co FA� ION#GG127618 MISSION 27618
.,•;�� •�.� EXPIRES July 24,2021 �W!ft " EXPIRES July 24,2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17