HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED.FOR APPLICATION TO BE ACCEPTED
Date:October Z,2018 Permit Numbe i�-zz, _. F-=W'gir, a�iqm
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Building, Permit Application
OCT 0 4 201$
Planning and Development Services Permittino.
Building and Code Regulation Division _
2300 Virginia Avenue,Fort Pierce FL 34982 ��' �--�C ie i. o t,^n 3. fJ! s-L
:Phone:(772)462-1553 Fax:(772)462-1578 Commercial Rest entia -�
PERMIT APPLICATION FOR: Fence
`PR{3F'OSED IMPRr i/9,-M N`�T'LOCATIC►`l 4 {'
s. .5,
Address: 9331 Breakers Row,Fort Pierce,FL 34945
Legal Description: PALM BREEZES CLUB(PB 49-32)BLK 9 LOT 18
Property Tax ID if.. 2310-500-0174-000-3 Lot No.18
Site.Plan Name: Gutierrez Fence'Install Block No 9
Project Name:Install Wood Fence
Setbacks Frorit25' Back: 24, Right Side: 24" Left Side: 2-4"'
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P k N r I x C �. h .3 r
DETAILED DESCRIPTION OF�WORK; �� n .: ' � . ; . x. .. st r� '.:' ��':05"" `
Install 129' LF of 6'tall shadow box wood fence with lea 5'walk gate.
,CO�ISTRUCTIeJN�INFORMATION
Additionalw —check�under this`permit all mat
appy '
HVAC 0-Gas Tank ❑Gas Piping _Shutters Windows/Doors �
11 Electric r �Plumbing E]Sprinklers 11 Generator 0-Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$-2140 Utilities:0Sewer QSeptic Building Height:
bVilCJERJLE$5EE �
Name Alex Gutierrez Name: Derrick Bailey
Address:5160 Palace Court Company:A Great Fence
City: Fairfield State:CA Address: 751'NW Enterprise Drive
Zip Code: 94534 Fax: City: Port ST Lucie State:FL
Phone No.813-454-5495 Zip Code: 34986 Fax: 7724080272
E=Mail:tatozz0@gmail.com Phone No. 7728120223
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.
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EMSNTAL CflNSTRUGTION 1.1'Ef LA1NjlN"FORMATI%,# 'r �°
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DESIGNER/ENGINEER: _ NotApplicable 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 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 resultin your,paying,twice for
improvements-to yciurproperty.A Notice of Commencement must be recorded and posted on the jobsite
before the first Inspection. If you intend to obtain financing,consult with lender or an attorney before
commen cing wA or recording aur Notice of Commencement.
4/41
Signatur of n ssee/C a or as Agent for Owner Signature ZOLOIDA
ntr ct i rise' I er
STAT OF FLORI Ab'l STATE O
COUNTY OF sT«p COUNTY OF stu
The forgoing instrument was acknowledged before me The forgoing instrument.Was acknowledged before me
this 2 day of.0-ber 2019 by this 2 day of October 20 19 by
Mardek Barley Dardek BaWy
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 1-, _ Produced }
(Signature of Notary Public-S e of Florida) (Signature of Notary �ub`c-
: to of Florida}
T .
Commission No.6GI27618 mmission No. GG127 ; fit; CR`riS'{S alx BISHOP
;, CRT.,;SIAL Y.81SH0 MY CpMMIssION#GG127618 i
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MY COMMISSION#GG127 18 1"kOW-0 EXPIRES July 24,2021
'
2021
REVIEWS FRONTNS VEGETATION 'SEA TU OLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17