HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 29, 2019
COUNTY,
V :1 . n :R ., 'n
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 Number:
Building Permit Application
Commercial Residential x
PERMIT TYPE: Fence
PROPOSED IMPROVEMENT LOCATION:
6820 Dickson Terrace, Fort Fierce, FL 34952
Property Tax ID #: 3415-706-0043-000-3
Site Plan Name: Piatkowski Fence Install
Project Name: Install PVC Fence
DETAILED DESCRIPTION OF WORK:
Install 184' L.F. of 6' tall PVC privacy fence with lea 5' walk gate.
CONSTRUCTION INFORMATION:
Lot No. 1
Block No. 3
Additional work to be performed under this permit– check all that apply:
_Mechanical — Gas Tank Gas Piping _ Shutters _ Windows/Doors
— Electric — Plumbing _ Sprinklers — Generator T Roof Pitch
Total Sq. Ft of Construction:.
Cost of Construction: $ 4470
Sq. Ft. of First Floor:
Utilities: _Sewer `Septic Building Height:
O NERAESSEE:
CONTRACTOR:
Name Christine Piatkowski
Name: Darrick Bailey
Address:6820 Dic&;n Terrace
Company:A Great Fence
City: Port ST Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 708-0393
Address:751 NW Enterprise Drive
City: Fort ST Lucie State: FL
zip Code: 34986 Fax: 408-0272
Phone No 812-0223
E -Mail: cpiatkowski@gmx.com
Fill in fee simple Title Holder on next page t if different
from the Owner listed above)
E -Mail info@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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
uvvFmtn/ LON I RAL I OR AFFIUVI 1: 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 TH OB SITE BEFORE THE FIRST INSPECTION. IF YOU'INT11ND TO OBTAIN FINANCING, CONSULT
WITH YOU -L ER OR N ATTORNEY BEFORE RECORDING YOUR OT D COMMENCEMENT."
j�� 9
r � iT
Signator O r/ a ee/Contr r s Agent far Owner Signatur f ritract JLicense Holder
STAT -SOF FLORIDA STATE'OF FLORIDA
COUNTY OFSTL.de COUNTY OFSTLucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 29 day of may 20 1? by this 29 day of may Zp 1 9% by
6arriok Barley
Barrick 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 N
MY COMM kSSJON # GG127618
Comm
ission No. AM d�PC EXPIRES"4, 2021
REVIEWS IFRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
SUPERVISOR PLANS I VEGETATION I SERAET ERTTI_E a M EVG ROVE
REVIEW REVIEW REVIEW