HomeMy WebLinkAboutBuilding Permit PackageAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 26, 2020
Permit Number:
�(DD
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1.553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Pool Barrier Fence
PROPOSED IMPROVEMENT LOCATION
Address: 3018 NW Radcliffe Way, Palm City, FL 34990
X
Property Tax ID #: 4425-703-0011-000-5 6
Lot No.
Site Plan Name: David Marley
Project Name: Install Alum Fence Black No.
DETAILED DESCRIPTION OF WORK:
POOL BARRIER, Install 163' L.F. of 4' tall 2-rail alum fence with 3" spacing on pickets and 2-ea 4' walk gates
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: $ 5,740.00 Utilities: —Sewer — Septic Building Height:
OWNER/LESSEE:
Name David Marley
Address:3018 NW Radciiffw Way
City: Palm City State:
Zip Code: 34990 Fax: -`
Phone No.305-495-0649
E-Ma il: dmarleyjr@financialguide.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Darrick Bailey
Company:A Great Fence
Address:751 NW Enterprise Drive
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 772-408-0272
Phone N0772-812-0223
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: x Not Applicable
Name;
Address;
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip- Phone:
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, 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 po ed on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an or before commencing work or recording our NOti e of Commencement.
Signature of Ov�%r/ Les a/Contracto as Agent for Owner Signature of ontract r/License H der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLucie COUNTY OF STLucie
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 26 day of .rune 2020 by this 26 day of June 2020 by
Darrick Bailey Dadck 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 Na Public- Statem I Iqq ture of Not
'= MY COMMISSION # O 1 7i� Notary u
`
Commission No. cc z7s,a Mal) oeail EXPIRES July 2a,I'Fom;;o:'�'' °4 : CRYSTAL Y BISHOP
„ ission No. G0127618 •: *_ MY COfu )7N # GG127618
EXPIRES July 24, 2021
REVIEWS FRONT ZONING 7SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
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