HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 30, 2019 Permit Number:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462.-1553 Fax: (772) 462-1578
Building Permit Application
PERMIT TYRE: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5514 Birch Drive, Fort Pierce, FL 34982
Property Tax ID #: 3402-609-0192-000-4
Site Plan Name: Stoltz Fence Install
Project dame: Install PVC Fence
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Install 160' L.F. of 6' tail PVC privacy fence. No gates
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
Mechanical — Gas Tank — Gas Piping Shutters
Electric — Plumbing —Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3,680.00
OWNER/LESSEE:
Name Catherine Stoltz
Lot No. 14 & 15
Block No. 57
— Windows/Doors
— Generator Roof
Sq. Ft. of First Floor:
Utilities: `Sewer Septic Building Height:
Address:5514 Birch Drive
City: Fort Pierce
state: FL
Zip Code: 34982 Fax:
Phone No. 529-2091
E -Mail: stoltz425@gmail.com
Fill in fee simple Title Bolder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Garrick Bailey
Company:A Great Fence
Pitch
Address: 751 NW I<nterprise Drive
City: port ST Lucie State: FL
Zip Code: 34986 Fax: 772-408-0272
Phone No772-812-0223
E -Mail info@?a agreatfence.com
State or County License23954
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN' INFORMATION:
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:
n1A11UGRI r'ne.iroAr,rne Rrrsr,■r,r. .
— -- —•-► �--• �•- w.. Arr1mv p i . Hppm:aiion :s hereby mace 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 jCounty 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 Flame 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 5t. 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 accessary uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN FOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
as Agent for Owner
STATE OF FLORIE
COUNTY O F ST Lucie
The forgoing instrument was acknowledged before me
this 30 day of April , 20 19 by
aarrick Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
{Signature of/lotary Publi
CommisS&Ao. co1127szs 1=':
REVIEWS IFRONT
COUNTER
DATE
RECEIVED
DATE
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v CRYSTAL Y BISHOP
= MY FISSION # G(31276
EXPIRES July 24, 2021
Signature f bP
ctiSricense alder
STATE FLDA
COLI Q F e
The forgoing instrument was acknowledged before me
this 30 day of April 20 i 9 by
Darrick Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produce
(signature of PuFalic4# FlortM*STAL Y BISHOP
Commission Ivo. G127618 T. *' MY q9 IVI SSION # GG12761
15 July 24, 2021
REVI W I SUPERVISOR
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