HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:June 28,2019 Permit Number:� (—)
w.,
Building Permit Application
Planning and Development Services
Building and Code Regulation"Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax 1(772)462-1578 Commercial Residential X
PERMIT.TYPE:Fence
IIt11PR01%EMEIVT LOCATION
�. _ �. �
Address: 67 Aqua RA Drive, Jensen Beach, FL 34957
Property Tax ID#:4511-815-0008-000-9
Lot.No. 4
Site Pian Name: Maloney Fence Install
Block No. 3
Project Name: Install.PVC Fence
DETAILED DESCRIPI lOj4 OF WORK
NOT POOL BARRIER, Install 54'L.F,.• . . �`" •�� . . .:, , , .-; =
of 6'tall PVC privay fence.
Gt NSTRUCTIO, INFORNIATlON
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:$ 1,890.00 Utilities: _Sewer _Septic Building Height:
OWNER%LESSEE CONTRACTC}R
,NameDale Maloney Name:Darrick Bailey
Address:67 Aqua RA.Drive
Company:A Great Fence
Cit),: Jensen Beach State:_ Address:751 NW Enterprise Drive
Zip Code: 34957 ' Fax: Port ST Lucie
954-303-6564 City. State:FL
Phone Na. Zip Code: 34986 Fax: 408-0272
E-Mail:shutterupdale@aol.com Phone No812-0223
Fill in fee simple Title Holder on next page(if different E-Mail info@agreatfence.com
from-the Owner listed above) State or County 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.
�I�IVinir �l i� VONSTRJC77O � N LA
YVf a,1f�i"lt#} ii^ .Y' _ ,• 'if -
n
DESIGNER/ENGINEER: N1k Not Applicablej
MORTGAGE COMPANY: _blot 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 workor installation has commenced prior to the issuance of a permit.
St.Lucie Coun makes no representationthatis 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 fallowing 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
"WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR iPAYING.
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT.MUST BE. RECORDED AND
.POSTED OH HE JOB SITE BEFORE THE FIRST.INSPECTION. IF YOU INTEND TO OBTAIN-FINANCING,. CONSULT
WITH YOU DER OR AN ATTORNEY BEFORE RECORDING YOUR NOT1lrA OF COMMENCEMENT."
Signat `e 900wn f Lessee o ractor as Agent for Owner Signature of C ntt grjl teens id r
ST E OF FLORIDA STATE O FLORIDA
C UNTY OF srr�cre COUNTY OF STLude
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 28 day of Ju- 20T by this 28 day of 3���. ,20_,,,, by
oartick.BatleY oenfckBailey
Name of person making statement. Mame of person making staternent.
Personally Known x OR Produced Identification Personally Known x OR Produced identification
Type of identification Type of Identification
Produced Produced
(Signature of Notary �+�(�y�+ Y BISHOP (Signature of Notary P ic-State of Florida)
1QAY a CRY o3
Commission No. oo My COM t4#GG121618 - CRY$ L Y OP
EXPiREs July 24,2021 Commission No. =
=?e;i r uy CoMMIMON#GG127616
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE l
COMPLETED
Rev.