HomeMy WebLinkAboutSLC Permit Application - Ken RevelsAll APPLICABLE INFO MUST BE
Date: September 30, 2020
O J �.
Planning and Development Services
Building and Code Regulation Divisiol
2300 Virginia Avenue, Fort Pierce FL
Phone: (772) 452-1553 Fax: (772)
PERMIT APPLICATION FOR
PROPOSED IMPROVEMEN
Address: 6009 Tangelo Drive, Fort
Property Tax ID #: 3402 -610 -0380 -
Site Plan Name: Revels Fence Inst
Project Name: Install Wood Fence
FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Commercial
-1578
fence
LOCATION:
erce, FL 34982
Residential x
DETAILED DESCRIPTION OF WORK:
r
Install 197' 6' tall shadow box wood lence with 1 -ea 5' walk gate and 8' opening right return.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 28
Block No. 83
Additional work to be performed a
ider this permit– check all that apply:
_Mechanical — Gas Tank
_ Gas Piping Shutters Windows/boors Pond
— Electric —Plumbing
_ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 6.700.00
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
NamE:Darrick Bailey
Name Kenneth Revels
Address: 6009 Tangelo Drive
Company: A Great Fence
City: Fort Pierce
State:_ Address, 751 NW Enterprise Drive
Zip Code: 34982 Fax:
City: Pork ST Lucie State: FL
Phone Na. 772-528-2672
Zip Code: 34986 Fax: 772-40$-0272
E -Ma
phone N0772-812-0223
Fill in fee simple Title Holder on net
page [ if different E -Mail info@agreatfence.com
from the Owner listed above)
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 REC
RDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phar
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip.. Phone:
OWNER/ CONTRACTOR AFFIDVI
I certify that no work or installation has
St. Lucie County makes no representati
which is in conflict with any applicable
structure. Please consult with your Hon
In consideration of the granting of this i
in accordance with the approved plans,
The following building permit applicatic
accessory structures, swimming pools, 1
WARNING TO OWNER: Your failu
improvements tF%t6rnev
ur prope
Lucie County ans.Led on t
with lender nra be
Signature Oowner
STATE OF FLORIDA
COUNTY OF STLude
N LIEN LAM! INFORMATION:
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
: Application is hereby made to obtain a permit to do the work and installation as indicated.
ommenced prior to the issuance of a permit.
7 that is granting a permit will authorize the permit holder to build the subject structure
3me Owners Association rules, bylaws or and covenants that may restrict or prohibit such
Owners Association and review your deed for any restrictions which may apply.
quested permit, I do hereby agree that I will, in all respects, perform the work
ie Florida Building Codes and St. Lucie County Amendments.
Is are exempt from undergoing a full concurrency review: room additions,
aces, walls, signs, screen rooms and accessory uses to another non-residential use
E! to Record a Notice of Commencement may result in paying twice for
ty. A Notice of Commencement must be recorded in the public records of St.
e jobsite before the first inspection. If you intend to obtain financing, consult
Qre commencing work or recording our Notice of Commencement.
as Agent for Owner Signa�a're of C ntrac /Li nse Holder
STATE OF FLORIDA
COUNTY OF st!_ucie
Sworn to (or affirmed) and subscribed efore me of
x Physical Presence or Onlin Notarization
this 30 day of September 020 by
Darrick Bailey
Name of person making statement.
Personally Known x OR Produc
Type of Identification
Produced —
(Signature of Nota—rYTutlic.4 of F�
Commission No. GG 7618 -'1•i MY
REVIEWS FRONT ZONI
COUNTER REVII
DATE
RECEIVED
DATE
COMPLETED
ev.
Identification
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 30 day of Septer6er 2020 by
Darrick Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
AE Y BISHOP (Signature of Notar
BION # GG127618
July 24, 2421 Commission No. GG 2
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
My COMMISSION # GG127618
EXPIR15($dWJ)24, 2021
SEA TURTLE I MANGROVE
REVIEW REVIEW
9/30/2020
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