HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Novembe!:2018 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division L7;J
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence 7
JI
PROPQSED IMPROVEMENT LOCATION:
Address: 5209 S Indian River Drive, Fort Pierce, FL 34982
Legal Description: J O FRIES S/D THAT PART OF LOT 4LYG E OF FEC RR R/W-LESS N 116.94 FT AND LESS RD R/W-
(OR 3500-848;4018-703) 5209 S Indian River Drive, Fort Pierce, FL 34982
Property Tax ID#: 3401-600-0006-000-4 Lot No. 4LYG
Site Plan Name: Markwardt Fence Install Block No.
Project Name: Install PVC fence
Setbacks Front25+' Back: 2-4,. Right Side: 2-4„ Left Side: 2-4"
DETAILED`DESCRIPTIQN OF 1NORK:
Remove and replace 337' LF of 6' tall tan PVC fence with lea 5' walk gate.
.CONSTRUCTION INFORMATION,..
Additional work to be ,nertormed under t ispermit—check all that appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
0_Electric 0 Plumbing OSprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction. $ 11,020.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Douglas Markwardt Name: Darrick Bailey
Address:5209 S Indian River Drive Company: A Great Fence
City: Fort Pierce State:FL Address: 751 NW Enterpise Drive
Zip Code: 34982 Fax: City: Port ST Lucie State:FL
Phone No.561-504-1805 Zip Code: 34986 Fax: 772-408-0272
E-Mail:themanfromindianriver@yahoo.com Phone No. 772-812-0223
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„INFORIVIATIO.N:
DESIGNER/ENGINEER: x—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 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 inspe tion. If you intend to obtain financing, consult with lender or an attorney before
commencin ork recording our Notice of Commencement.
Signature O e L see/C t- for as Agent for Owner Signatur C t or/Lic a older
STAT F LORI A STAT OF FLORIDA
COU TY OF -Lwie COUNTY OF ST--
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 28 day of November 20/0 by this 28 day of November 20 69 by
Dardck Bailey Damck 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
J
(Signature of Notary Publi to of Florida) (Signature of Notary Public-State of FI da
Commission No. GG12718 a;is ” ., CRyf,714YBISHOP ST L Y_QU$ti0P
Commission No. G?
c MY COMMISSION#GG127618 ,yv
MY C ISSION#GG127618
EXPIRES July 24,2021 z;�;• 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
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