HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 25, 2020
O
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 Residential x
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 404 Willows Avenue, Port ST Lucie, FL 34952
Property Tax I D #: 3419-510-0200-000-3
Site Plan Name: Yancy Fence Install
Project Name: Install PVC Fence
DETAILED DESCRIPTION OF WORD:
Install 245' LF of 6' tail PVC privacy fence with 2ea 5' walk gates. NOT POOL BARRIER
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
_ Electric — Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 6,790.00
OWNER/LESSEE:
Name Brian Yancy
Address:404 Willows Avenue
City: Port ST Lucie
Zip Code: 34952 Fax:
Lot No. 11
Block No. 17
Pond
_ Sprinklers y Generator Roof
.� Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer —Septic Building Height:
State:
Phone No. 772-475-7475
E -Mail: brianyancy@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed alcove)
CONTRACTOR:
Name: Darrick Bailey
Company:A Great Fence
Address: 751 NW Enterprise Drive
City: Port ST Lucie FL
State:
Zip Code: 34986 Fax: 772-408-0272
Phone No 772-812-0223
E -Mail info@agreatfence.com
State or County License CGC1527571
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
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:
[Ip: Phone:
X Not Appli
State
` Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip:
Phone:
Not Applicable
State:
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, 1 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 an pttorney before commencing work or recording our Notice of Commencement.
Signature of Own
STATE OF FLORID)
COUNTYOF STLucie
as Agent for Owner Signature of Co ractor/Lice se Holder
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 25 day of June 2020 by
Darrick Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary P f' =-State of.FJ:ori
4 R•" CRYSTAL Y BISHOP
Commission No. Gc127a18
Cd I9SI0N # GG127618
%.2r EXPIRES Juiy 24, 2021
REVIEWS �FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COIF NTY OF ST Lucie
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 25 day of June 2020 by
Darrick Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pub
Commission No. GG127618
SUPERVISORPLANS VEGETATION
REVIEW REVIEW REVIEW
CRYSTAL Y 8IS-Mop
MY 4I)SS€ON # GG1276
EXPIRES July 24, 2021
SEA TURTLE I MANGROVE
REVIEW REVIEW