HomeMy WebLinkAboutBuilding Permit Application II
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 i
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Date: December 13,2018 , Permit Number: I D 12 02'(q 'I
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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 1
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PERMIT APPLICATION FOR Fence 8
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Address: 221 E Arbor Avenue,,Port ST Lucie,FL 34952
Legal Description: RIVER PARK-UNIT 1 BLK 2 LOT 21 (MAP 34/2214)(OR 3512-1322)
Property Tax ID#: 3419-501-0026-000-1 21
Lot No.
Site Plan Name: Mock Fence Install Block No, 2
Project Name: Install Wood Fence.
Setbacks Front 25+' Back: 2-4" Right Side:2-4" Left Side: 2-4"
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Remove existing fence and install 265' of 6'tall board on boardwood fence with lea 5'walk gate
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CCNSTlU lNINOATION � ',.1:,-0,...72-.;',--- 'I
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Additional work to be erformed under this permit-check all apply:-l
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❑HVAC Gas Tank Ekes Piping Shutters Windows D
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Electric 1..=,1 Plumbing ❑Sprinklers ❑Generator El Roof Roof pitch
Total Sq. Ft of Construction: Sc. Ft.of First Floor:' �'
Cost of Construction:$ 4,470.00
Utilities:,Sewer f �)Septic Building Height:
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Name Kelly Mock Name: Derrick Bailey
Address:221 E Arbor Avenue: Company: A Great Fence
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City: Port ST Lucie State:FL Address: 751 NW Enterprise Drive
Zip Code: 34952 Fax: City: Port ST Lucie State:
FL
19-673-2031 Phone No.9
Zip Code: 34986 Fax: 408-0272
E-Mail:iamesrsteyn@qmall.com
Phone 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.
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rStE0agMENtr, A,UitaN, STRVATIONdlEtliaWANFORKWATIONUA -40 ,14Ant ;:;:,*0
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:
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OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
1 I certify that no work or installation has commenced prior to the issuance of a permit. i
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,wont,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 foil
improvementsto your property;A Notice of Commencement must be recorded and posted on the jobsite
before the first in,•ection.If you intend to obtain financing,consult with -4 der or an attorney before i
coThrnencin:Av. ' or recording your Notice of Commencement.
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Signatur-Aif 0 , 6rrfsee/Coir ct4r as Agent for Owner , Signatur:Af Con 7fc..r/ cense Ho,*•r
STAT OF ORI P A STAT r OF FL i RID
COU''TY OF 51A.6., ! CO TY OF .--- / '1
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The forgoing instrument was acknowledged before me The forgoing instrument was acknowledge,fkbefore me
• . this 13 day of December . ,201R by this 13 day of December ,20115 by
Derrick BaiteY Derrick Bogey
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
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(Signature of Notary Pubi State of FInriria) (Signature of Notary Pub• - .. - : :j; 7eitsHop
' ,014:4,•••,. CRYSTAL Y BISHOP - ,:,,;;i,•.;14,e/ • = ' At,Y
I :...0.• ,,,,y• -- ,..,,,,Amissq#GG121618
Commission No. G012761'-'': 14,,''Tati:, MY COlgtHOION At GG127618 Commission No, GG127618!.:,.: 1.7-"" w*ii ' ',."-•"pUa I
/ xpIRE fUi-...,,-, Ey 24,202i
'414-: - ..r. EXPIRES July 24,202i 1'';?f7f-....V
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED 1 .
DATE 1 .
• COMPLETED
Rev.8/2/17 l' - .
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