HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 9, 2020 Permit Number:
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0-smog. ._..._______ - _ _.. , Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE:Fence*
Address: 2901 Summit Street; Fort Pierce, FL 34982
Property Tax ID#: 2421-802-0076-000-4 Lot No. 1
Site Plan Name: Gryner Fence Install Block No. 7
Project Name: Install Wood &Chain Link fence
NOT POOL BARRIER, Install 115'L.F.of 6'tall wood fence and 100'L.F.of 4'tall chain link fence with lea 3'walk gate
and lea 10'double swing gate.
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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:$ 3,600.00 Utilities: —Sewer —Septic Building Height:
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t#f R1.ES CO TRATR' r '
NameChristopher Gryner Name:Darrick Bailey
Address:2901 Summit Street Company;AGreat Fence
City: Fort Pierce State: FL Address:751 NW Enterprise Drive
Zip Code: 34982 Fax: City: Port ST Lucie State:FL
Phone No.772-302-9135Zip Code: 34986 Fax: 772-408-0272
E-Mail:suzymuzzy@msn.com Phone No772-812-0223
Fill in fee simple Title Holder on next page(if different E-Mailinfo@agreatfence.com
from the Owner listed above) State or County LicenseCGC1527571
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.
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DESIGNERjENGINEER: wA Nat Applicable MORTGAGE COMPANY: T Not Applicable
Name: Name:
Address: Address:
City: I State: City: State:
Zip: Phone j Zip: Phone:
FEE SIMPLE TITLE HOLDER:, Not Applicable BONDING;COMPANY: Not Applicable
:Name: �
Name:
Address: Address:
'City City:
Zip: Phone:I Zip: Phone:
OWNER/CONTRACTOR AF,FIDVIT: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 Couni makes no representation that is granting a permit will authorize the hermit 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,wails,signs,screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TOO 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 YQ'tk INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR DER OR AN ATTORNEY BEFORE RECORDING YOU TICE OF COMMENCEMENT."
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Signature of FAerltes ee/Cot or as Agent for Owner Signature ontract r/License Olde
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STATE O LORIDA STATE OF FLORIDA
COUNTY -F sTLucia COUNTY OF $TLacle
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The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 8 day of Ap,;l ! .2021D by this s day of Agn, 20 2.0 by
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Darric c Bailey { Derrick Bailey
Name of person making statement. Name of person making statement.
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Personally Known x OR Produced Identification Personally known x OR Produced identification
Type'of Identification Type of Identification
Produced Produced
°(Signature of Notary Publ tate of Florida (Signatur ota
± '^ CRYSTAL Y BISHOP
Commission No. Gr;i2zs CR AL Y BISHOP Commission No; 991 ..8 My cOMMISS(BtW)3G127618
MY COMMISSION#GG127618 i;+, EXPIRES July 24;2021
REVIEWS FRO OR PLANS . VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED I
DATE `
COMPLETED
Rev.2/7719
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