HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BEACCEPTED
(Date: July 10, 2018 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
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PERMIT APPLICATION FOR: Fence
PROPOSED:IMPROVEMENT LOCATION:
Address: 4001 Millisa Terrace, Fort Pierce, FL 34947 J
Legal Description: HARTMAN HEIGHTS UNIT 1 LOT 1 (1.00 AC)(OR 3421-1872)
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2417-602-0001-000-1 1
Property Tax ID#: Lot No.
Site Plan Name: Bly Fence Install Block No.
Pi oject Name: Install Chain Link Fence
Setbacks Front 25+' Back: 2411 Right Side: 24
11 Lift Side: 25+1
DETAILED DESCRIPTION OF WORK:
Move 160' LF of 6' tall PVC fence from existing location, move about 20' closer to rear property line.
Install 178' LF of 5' tall black chain link fence with lea 5'walk Cate in same foot print where PVC was
located.
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CONSTRUCTION INFORMATION:,
clitional work toe e orme under t is permit—c ec a app,f:
HVAC 13 Gas Tank Gas Piping _Shutters Windows/Doors
LlElectric El Plumbing Sprinklers GenCrator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4,470.00 Utilities: Sewer Septic Building Height:
OWN_ER/LE,SSEE: CONTRAgTOR:
Name Melody Bly Name: Darrick Bailey
Address:4001 Millisa Terrace Company: �Great Fence
City: Fort Pierce State: FL Address: 7511 NW Enterprise Drive
Zip Code: 34947 Fax: City: Port ST Lucie State:FL
Phone No.971-7516 Zip Code: 34986 Fax: 408-0272
E-Mail:mmlbly2@gmail.com Phone No. 12-0223
Fill in fee simple Title Holder on next page if different E-Mail: infoa greatfence.com
from the Owner listed above) State or Conty License: 23954
If value of construction is$2500 or more,a RECORDED Notice of Commenceme t is required.
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SUPPLEMENTAL CONsSTRUCTION LIEN LAW IN`FORMATID
DESIGNER/ENGINEER: X Not Applicable MORTGAG COMPANY: _Not Applicable
Name: : Name:'
Address:- Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING OMPANY: _Not Applicable
Name: Name:
Address: Address:
city: City: I
Zip: Phone: Zip: I Phone:
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OWcerNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
1 tify that no work or installation has commenced prior to the issuance of a p rmit.
St. Lucie he permit holder to build the subject structure
County makes no representation that is granting a permit will authorize
which is in conflict with any applicable Home Owners Association rules,bylaws oy and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your dE ed 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 C unty 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 Commence may result in your paying twice for
Improvements to your property.A Notice of Commencement must a recorded and posted on the jobsite
before the first inspq%tion. If you intend to obtain financing, consult WX lender or an at ney before
commencing Vrk,6f repording y(>ur Notice of Commencement.
Signature o n r L /Cont a o as Agent for Owner Signature cens I er
STATE FL IDA STATE F ORID
OLIN OF ST LucieCOU OF ST Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 10 day of July 201'8 by this 10 dayof Muir 2018 by
Derrick Bailey Darrick Bailey
Name of person making statement Nam of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary lic- ate of Florida) (Signature of Notary PublioStoidaCommission No. G 127 la (Seal) Commission O. GG127618 (Seal)
,;;+►v CRYSTAL Y.BIsG O 61e
Y= R July!24�,202iREVIEWS MlPERVIS R PLANS VEGET :.SEL
U IEW REVIEW MW&W""ISSIO #�
DATE •'••,q►; ..• EXPIR
RECEIVED ES Jul 24,2021
DATE I
COMPLETED
Rev.8/2/17