HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application j FEC 0 7 2018
Planning and Development Services
Building and Code Regulation Division 5t. �ucle County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence I-
PROPOSED IMPROVEMENT LOCATION:
Address: 4380 Indrio Road, Fort Pierce, FL 34951
Legal Description: 18 34 40 W 150 FT OF SE 1/4 OF SW 1/4 OF SE 1/4 OF NE 1/4-LESS S 40 FT-(1.01 AC)(OR 1414-1771)
Property Tax ID#: 1418-143-0035-000-0 Lot No.
Site Plan Name: Krulisky Fence Install Block No.
Project Name: Install PVC Fence
Setbacks Front25+' Back: 25+1 Right Side: 2-4" Left Side: 2-4"
DETAILED DESCRIPTION IF WORK:
Install 150" LF of 5' tall PVC/Vinyl fence with lea 15' rollgate.
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check all appy:
HVAC 0 Gas Tank E]Gas PipingMGenerator
Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers g Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 7350 Utilities:'nSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:'
NameJOhn Krulisky Name: Darrick Bailey
Address:4380 Indrio Road 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.332-1976 Zip Code: 34986 Fax: 408-0272
E-Mail:Jd.krulisky@hotmail.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.
SU_PPLEIVIENTAL CONSTRUCTION LLEN 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 insp tion. If you intend to obtain financing, consult with lender Oran attorney before
commencing w r recording our Notice of Commencement.
////Pl/
d 411�
Signature(FFLOR!/D
Ow ee/ nt ctor as Agent for Owner Signature Co tractor/ cense der
STATE STATE FFLORIDCOUNTY OF sT��� COUNTY OF -L-1.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 8 day of November 20 18 by this 8 day of November .20/S by
Darrick 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
(Signature of Notary Public-State Florida) (Signature of Notary Public-State of Flo i
Commission No. GG127618 :�ssY'.';'•; CRl(y���LY.BISHOP Commission No. CY11%: CRYST Y(SBa OP
MY COMMISSION#GG127618 M IS 1015#G 27618
ems+ EXPIRES July 24,2021 jr �,,= EXPI July 24,2021
,'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17