HomeMy WebLinkAboutSLC Permit info - Jerry Ann DenmonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 28, 2020 Permit Number:
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
Commercial
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 128 Blue Grotto Drive, Fort Pierce, FL 34945
Property Tax I D #: 2310-500-0107-000-3
Site Plan Name: Denmon Fence Install
Project Name: Install PVC and chain link fence
Residential X
Lot No. 13
Block No. 4
DETAILED DESCRIPTION OF WORK:
NOT POOL BARRIER, install 34' L.F. of 4' tall black chain link fence with lea 5' walk gate. Install 68' L.F. of 6' tall PVC
privacy fence with tea 5' walk gate.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping
_ Shutters Windows/Doors Pond
Electric _ Plumbing _ Sprinklers
_ Generator Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 4,370.00 Utilities: — Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JerryAnna Denmon
Name. Darrick Bailey
Address:128 Blue Grotto Dr
Company:A Great Fence
City: Fort Pierce State:
Address:751 NW Enterprise Dr
Zip Code: 34945 Fax:
City. Port ST Lucie FL
State:
Phone No.270-929-4887
Zip Code: 34986 Fax: 772-408-0272
E-Mail:jerryannac@hotmail.com
Phone No 772-812-0223
Fill in fee simple Title Holder on next page ( if different
E-Mail info@agreatfence.com
from the Owner listed above)
State or County License CGC1527571
If value of construction is 2500 nr mnra. a ei.,+"--- -9 -
—RECORDED
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If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER
Name;
Address:
City: —
Zip: Phone
FEE SIMPLE TITLE HOLDER
Name:
Address:
City;
Zip: Phone:
X Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
State
— Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name;_
Address:
City:
Zip:
Phone:
Not Applicable
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or attorne before commencin work or recordin o r otce of Commencement.
Signature of
STATE OF FLORIDA
COUNTY OF STLucfe
as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 28 day of may 2020 by
Q Af1PLI C—L 6AILL'l
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produce
(Signature of Notar blic- State of Florida )
Commission No. ! 7618
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REVIEWS I FRONT I ["-Z(%I
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature gftontra tar/License
STATE OF FLORIDA
COUNTY OF STLucfe
er
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 28 day of may 2020 by
1) L+1'Vtr CIS 13ntLL~l
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature omo a y Public-
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PLANS
REVIEW
of Florida),
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