HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: September 4,2018 Permit Number:
V E, -
A Building Permit Appliceti n SEP 5 2018
Planning and Development Services
Building and Code Regulation:Division
2300 Virginia Avenue,Fort Pierce FL 34982 Permitting Departwent
Phone:'(772)462-1553 'Fax:(772)462-1578 Commercial FSVWd_ b aunty, FL
PERMIT APPLICATION FOR: Fence
PROPC?SED IUIPRQ!/E /1ENT`LOGATfC1N f <f
.Address: 6209 Spring Lake Terrace, Fort Pierce, FL 34951
Legal Description: PORTOFINO SHORES-PHASE THREE-(PB 43-40)LOT 345(OR 4116-658)
Property Tax ID#:- 1312-503-0118-000-5 Lot No.345
Site Plan.Name: Maury Fence Install Block No.
Project Name: Install Alum Fence
Setbacks Front25*' Back: 2-411 Right Side: 24° Left Side: 2-4"
®ETAILEDDESCRiPI-ION"OFWORK ` ${ °` � ' 47
ya4c�
Install 138' LF of 5'tall 2-rail white alum fence with 1 ea 3'walk gate and 1 ea 5'walk gate.
Additional work toe e orrne' under this permit—check a appy:
HVAC 13 Gas Tank Gas Piping _Shutters F]Windows/Doors
11 Electric FlPlumbing Sprinklers E]Generator ED Roof Roof pitch
Total Sq.Ft of Construction: 5 Ft.of First Floor:
Fl�
Cost of Construction:$ 4260.00 Utilities:0Sewer L�.,ISeptic Building Height:
01NR/LESSEE. 4 r. Ct3NTRACTOR >F n ,
9-J9,1,
E
NameDavid Maury. Name: Darrick Bailey
Address:6209 Spring Lake Terrace 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.281774377732 Zip Code: 34986 Fax: 408-0272
E-Mail:davemaury@yahoo.comPhone 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.
SIJPPLEME'NTAL CNSTRUCTIaN LIEN CAW !N'FORMATiC?N
DESIGNER/ENGINEER: Not Applicable " 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 apermit 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,l 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 toy ur property.A Notice of Commencement must be recorded and.posted on the jobsite
before the fi:st in ection.If you intend to obtain financing,consult with lender or an attorney before
commencin wo or recording ur Notice of Commencement.
f, //V /W
5ignatu e 6f O L ssee/Con ct r as AgenfforOwner Signature on roc "cense H ( r
STA. ORI A STATE FLORIDA
CO TY OF sr ucie COON OF &Lo
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 4 day of September 20/b by this 4 day of September 20 j by
Dartck Baby Derftk Salley
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
(Signature of Nota State0*VST>P Y BISHOP (Signature of Notary Pub State'of Florida)
Commission t zy1 :F.My COMMISSION#GG127618 �s; CRYSTAL I3 SHOP
Comm ion N r,� Commission No.ccr .•. ; t ea ,
EXPIRE`w� y 2A,2021 r MMISSIO ! U127$18
EXPIRES J1.. : .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