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HomeMy WebLinkAboutSLC Permit info - Pat GuthrieALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: June 22, 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) 452-1578 Commercial Residential I 'PERMIT APPLICATION FOR: FenCe I PROPOSED IMPROVEMENT LOCATION: Address: 13125 S. Indian River Drive, Jensen Beach, FL 34957 Legal Description: To long to list. Property Tax ID #: 4509-120-0007-040-2 Site Plan Name: Guthrie Fence Install Project Name: Install Alum Gate Setbacks Front25+' Back: 25+' Right Side: Z' q'I Left Side: 25+' X Lot No. Block No. DETAILED DESCRIPTION OF WORK: Install 14' LF 6' tall alum rollgate (gate has a tail section about 1/2 the width of gate) and operator (electrical by others). CONSTRUCTION INFORMATION: Additional work to be ertormed under t ispermit — check all appy: HVAC Gas Tank E]Gas Piping _ Shutters Q Windows/Doors LJ Electric Plumbing Sprinklers Generator L_I Hoof Roof pitch Total Sq. Ft of Construction:. Cost of Construction: $ 13690.00 SFt, of First Floor: _ Utilities: Sewer © Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Pamela Guthrie Name: Darrick Bailey Address: 13125 S. Indian River Drive Company: A Great Fence City: Jensen Beach State:FL Zip Code: 34957 Fax: Phone No.770-331-6553 Address: 751 NW Enterprise Drive City: PortbST Lucie State: FL Zip Code: 34986 Fax: 408-6272 Phone No. 812-0223 E-Mail:patguthrie@me.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: info@agreatfence.com State or County License: 23954 It value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: Zip: Phone State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Not Applicable Name: Address: City: Address: 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 thepermit 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 improvement to your property. A Notice of Commencement must be recorded and posted on the jobsite before the fi , t in ection. If you intend to obtain financing, consult with lender or an attorney before commencin' w or recording your Notice of Commencement. r as Agent for Owner STA�T�''OF FtOXIDA CO NTY OF Darrick Bailey The forgoing instrument was acknowledged before me this 22 day of June 20 it?, by Derrick Bailey Name of person making statement Personally Known x OR Produced Identification Type of Identification Produced (SignatDre-If Notary Public ate W Florida } Commission Na aY pw AL Y OP ' y CoMMISSION # GG127618 REVIEWS SUP kVIS COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. $/2/17 Signature of STATE OF FLORIDA COUNTY OFDamGkeailey The forgoing instrument was acknowledged before me this 22 day of June 20 it"by Darrick Bailev Name of person making statement Personally Known x OR Produced identification Type of Identification Produced —. (Signature of Notary Public- State o loris') Commission No. GG127618, ., STAL NO COMMISSION # GG127$18 PLANS VEGETATIC77N REVIEW REVIEW I REVIEW REVIEW m LM CPNC4 t? WAT5--W PPOFT-59ONAL 5LYOI ANt? 16:2 9N VVALX Wf rATH 5' , MGIP PA 5,+91917 0�1 PREPARED FOR,, PAAaIA W. GUTI&C A PCR7XW OF -qCMW 9-37-41 i5�r w�jF --cuvr,- fzoRwA oeo)