HomeMy WebLinkAboutSLC Permit info - Tom SmallAll APPLICABLE INFO MUST BE
Date: September 21, 2020
911. Lu, CDE
Planning and Development Services
Building and Code Regulation Divisior
2300 Virginia Avenue, Fort Pierce FL
Phone: (772) 462-1553 Fax: (772)
PERMIT APPLICATION FOR:
L.PROPOSED IMPROVEMEI\
Address: 7808 Saddlebrook Drive,
Property Tax ID #: 3321-501-0003-C
Site Plan Name: Small Fence Install
Project Name: Install Chain Link Fei
LIFTED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Commercial _ Residential X
-1578
-ence
LOCATION:
art ST Lucie, FL 34986
DETAILED DESCRIPTION OF WORK:
NOT POOL BARRIER, install 104' 0 5' tall chain link fence with 1 -ea 5' walk gate.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed u
_Mechanical — Gas Tank
— Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,840.00
OWNER/LESSEE:
NameTom Small
Address:7808 Saddfebrook Drive
City: Port ST Lucie
Zip Code: 34986 Fax:_
Phone No. 772-595-5162
E -Mai 1: design 7808@aof. corn
Fill in fee simple Title holder on n
from the Owner listed above)
Lot No. 3
Block No.
r this permit – check all that apply:
_ Gas Piping — Shutters windows/Doors pond
Sprinklers _ Generator Roof
-- Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
CONTRACTOR:
Name: Darrick Bailey
Company:A 'Creat fence
State: ` Address: 751 NW Enterprise Drive
City: Port ST Lucie FL
State:_
Zip Code: 34986 Fax, 772-408-0272
Phone No 772-812-0223
page ( if different E-Mailinfo@agreatfence.com
State or County LicenseCGC1527571
If value of construction is 2500 or more, i 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:
Sig t of ontracto /License Holder
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY: � Not Applicable
Address:
Name:
Address:
City:
Zip: PhoneState:
State:
City:
Zip:
this 21 day of September
Notarization
020 by
_ Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
#his ZPhysical
day o f September 2020 by
BONDING COMPANY: Not Applicable
Address:
Name:
Address:
City:
City:
Zip: Phone:
Personally Known x OR Produce
Type of Identification
Zip: - Phone:
OWNER/ CONTRACTOR AFFIDVI : 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
Produced -
prior to the issuance of a permit.
St. Lucie County makes no representation
which is in conflict with any applicable Home
that is granting a permit will authorize the permit holder to build the subject structure
Owners Association rules, bylaws
structure. Please consult with your Home
or and covenants that may restrict or prohibit such
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 applicatio is are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, f nces, 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 inspectio If
you intend to obtain financing, consult
with len r an attorney before commencing work or record' your Notice of Commencement.
.a _
,
. , � �t vwf lUr/ Lessee/t_ontracto
as Agent for Owner
Sig t of ontracto /License Holder
SOF FLORIDA
C iUNTY
STATE OF FLORIDA
O F ST Lucie
COUNTY OF ST L.de
Sworn to (or affirmed) and subscribed
X Physical Presence or online
before me of
to affirmed) and subscribed before me of
this 21 day of September
Notarization
020 by
xworn
is Presence or Online Notarization
#his ZPhysical
day o f September 2020 by
Name of person making statement.
Name of person making statement.
Personally Known x OR Produce
Type of Identification
I Identification
PersonallyKnown x
OR Produced Identification
Produced -
Type of Identification
Produced -
(Signature o Notar I? - 5tatr
(Signature of Not r'` '
SMY
Commission No. GG1 �- ANY CDM
EXPI
iS51UN # GG127818
E�SOEQ 24, 2021
CO MISSIOta N # GG12i618
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F•,
Commission Na EXPIRESJ�}2021
REVIEWS FRONT ZONING
COUNTER REVIEW
SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
DATE
REVIEW
REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED