HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 30, 2019
Permit Number:
COUNTY
F !3... a :. I r
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
PERMIT TYPETence
PROPOSED IMPROVEMENT LOCATION:
Address: 9637 Windrift Circle, Fort Pierce, FL 34945
Property Tax ID #: 2310-590-6041-000-2
Site Plan Name: tong Fence Install
Project Name: Install Wood Fence
DETAILED DESCRIPTION OF WORK:
154' L.F. of 6' tall wood fence with lea 5' walk gate.
CONSTRUCTION INFORMATION:
Commercial Residential x
Lot No. 24
Block No. 1
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters Windows/Doors
— Electric — Plumbing — Sprinklers — Generator — Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 3040.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
NameAshley Long
Name: Darrick Bailey
Address: 9537 Windrift Circle
Company:A Great Fence
City: Fort Pierce State: EL
Address: 751 NW Enterprise Drive
Zip Code: 34945 Fax:
City. Port ST Lucie State: FL
Phone No 519-2813
Zip Code: 34986 Fax: 772-408,0272
E -Mail: ashleylong2015@gmail,com
Phone No772-812-0223
Fill in fee simple Title Halder on next page { if different
E -Mail info@agreatfence.com
from the Owner listed above)
State or County License23954
If Valuv of enrlctnirtinn is t7C.nn nrrrnl-.r...
- - -- -" v1 4V11111ICE Mr.]IICE IL IS requlrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: Not Applicable
Name.
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:� Not Applicable
Dame:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR NDER OR AN ATTORNEY BEFORE RECORDING YOUR NO E OF COMMENCEMENT."
as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST Lucie
The forgoing instrument was acknowledged before me
this sn day of apdi _ 2017 by
Darrick Wey
'Name OT person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(5'gnai-ofNotary Pu AL BOOP
CRYS
Commission No. GG12?618. MY com ION # GG127618
%�..- k= EXPIRES July 2h, 2621
REVIEWS J I FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
of Ci`intraftor/Li
STATE OF FLORIDA
COUNTY { FST Lucie
The forgoing instrument was acknowledged before me
this 36 day of APilI 20A 1 by
Darrick Bailey
Name of person making statement.
Personally Known x
Type of Identification
Produced
{Signature of Notary Publi
Commission No. GG127618
OR Produced Identification
rSTAL Y BIS
�= nny C ��l�srory # Go O'P
T2767
""ES July 24, 2,021
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