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HomeMy WebLinkAboutSLC Permit info - Nita NewmanAll APPLICABLE INFO MUST BE
Date: October 5, 2020
' Ali' "" - - ®Rw
.y
Planning and Development Services
Building and Code Regulation Division
2.300 Virginia Avenue, Fort Pierce FL
Phone: (772) 462-1553 Fax: (772)
PERMIT APPLICATION FOR
PROPOSED IMPROVEMEr
Address: 6904 Belleair Avenue, F
Property Tax ID #: 1301-611-0174
Site Plan Name: Newman Fence I
Project Name: Install chain link fei
FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Commercial Residential X
-1578
Fence
LOCATION:
Pierce, FL 34951
Lot No, 5
Block No. 108
DETAILED DESCRIPTION OF WORK:
NOT POOL BARRIER, install 83.5" I .F. of 4" tall chain link fence.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMAT11ON:
Additional work to be performed u
Mechanical — Gas Tank
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,690.00
OWNERAESSEE:
Name Nita Newman
Address: 2080 Colonial Road Apt 1
City: Fort Pierce
Zip Code: 34950 Fax:_
Phone No, 772-461-7742
E -Mail: nitalmt@aol.com
Fill in fee simple Title Holder on ni
from the Owner listed above)
ler 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 Great Fence
State: Address: 751 NW Enterprise drive
City: Port ST Lucie FL
State;
Zip Code. 34986 Fax: 772-408-0272
Phone N0772-812-0223
page ( if different E -Mail info@agreatfence.com
State or County License CGC1 527571
If value of construction is 2500 or more, RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or mare, a REC RDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU
DESIGNER/ENGINEER: -
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
ON LIEN LAW INFORMATION:
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
OWNER/ CONTRACTOR AFFIDVI : Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representati n that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable F ome 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 r quested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, he Florida Building Codes and St. Lucie County Amendments.
The following building permit applicatio
accessory structures, swimming pools, f
WARNING TO OWNS : Your fallui
improvements i your propel
Lucie County jagod posted on tl
with lender sir nAttnrnav ha -
Signature ofohl"ier
STATE OF FLORIDA
COUNTY OF STLuoie
are exempt from undergoing a full concurrency review: room additions,
-es, walls, signs, screen rooms and accessory uses to another non-residential use
to Record a Notice of Commencement may result in paying twice for
A Notice of Commencement must b ecorded in the public records of St.
jobsite before the first inspection. ou intend to obtain financing, consult
commencing work or recordin r Notice of Commencement.
as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 5 day of octomber 020 by
Darrick Bailey
Name of person making statement.
Signs roof Contractor i en Holder
STATE OF FLORIDA
COUNTY OF STLucie
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 5 day of October 2020 by
Darrick Bailey
Name of personmaking statement.
Personally Known x OR Produced Identification Personal) Known X
Type of ldentification y OR Produced Identification
Produd Type of Identifi
Produced
(Signature of Notary Publi ate o Florida
(Signature of Notary u a
YSTAL Y BISHOP i. n a e
L grSld�
Commission No. GGizr, 18 aa" ��
i MY y�SSION # GG127518 Commission No. GG12 s" MY comm)I GG427618
%'•'F•.:_s�cF._ EXPtiRES .luly 24.2021 %.,;crfi,- EXPIRES July 24, 2021
REVIEWS FRONTZONI
COUNTER L----]REVII
DATE
RECEIVED
DATE
COMPLETED
SUPERVISREVIIEWOR REVIEW VREV EWON � S REVEWEGETATI1ATURTLE MRANGRO
EVEWVE
ORDERED BY
Ataln:772.449.814S
(01:772-294,9407
FaX'
fax:772.907.019a
Ema
„ ME jJ0.1,
I: told utltlestatvitesofflerida,com
PROPERTY ADDRESS; 6904 BELLEARV
u,
NUE, FORT PIERCE, FLORIDA 34951
SURVEY NUMBER; FL2006.4268
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