HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: January 19, 2021 Permit Number:
oL 0.
o U� k
r - Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT (OCATION:
Address: 6823 Dickson Terrace, Port ST Lucie, FL 34952
Property Tax ID #1•: 3415-705-0042-000-3
Site Plan Name: Lombardi Fence lns6ll
Project Name: Install PVC Fence
DETAILED DESCRIPTION OF WORK:
NOT POOL BARRIER, install 153.9' LF of 6' tall pvc privacy fence with lea 5' walk gate.
i
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
0
Lot No. 41
Block No. 1
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: $ 4,465.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJerry Lombardi
Name: Darrick Bailey
Address:6823 Dickinson Terrace
Company:A Great Fence
City: Fort ST Lucie State:
Zip Code. 34952 Fax:
Phone No.561-455-8502
Address:751 NW Enterprise Drive
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 772-408-0272
Phone No772-812-0223
E-Mail:Jlombal30@gmaii.com
Fill in fee simple Title Holder on ne'ct page { if different
from the Owner listed above)
E-Mailinfo@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
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 roams and accessory uses to another non-residential use
WARNING TO OWNER: Your failur� 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 th+ jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our, Notice of Commencement.
i
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Signature of Owner Lessee/ ontract-or lastAgent for Owner
Signature of ontracto /License Hold r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sTE_ucle
COUNTY OF 8TLucie
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 1s day of January 2020 by
this x day of January 2020 by
Darrick Bailey
Darrick 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
ature of Notary Public. 5 Flot!al
Y PUB .� # G' GI 2164,
(signature of Notary Public-' to of Flcirida)
Commission No. GG127s18 Ya �.,(5ea>L}¢�YS
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ission No. GG127618 � July 24, 21,21
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MY COMPXPMISSION
iRES July 24, 2021
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REVIEWS
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UPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5
I
Sheet 1 of 2 (Sketch of Survey) -See Sheet 2 of 2 for Le. al Description, Certifications, Property and other Survey related data. SURVEY IS NOT COMPLETE WITHOUT ALL SHEETS
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BEARING REFERENCE:
CENTER LINE OF DICKINSON TERRACE AS S.14°34'06" W.
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Platted Easements, Notable or Adverse Conditions (
platted easements also listed if provided by client): IF APPLICABLE, RECIPIENTS OF THIS SURVEY SHOULD
-i REVIEW THE POSITION OF ANY FENCE LINES SHOP
N HEREON AND THEIR RELATIONSHIP TO THE BOUNDARY LINE
FUTILITY EASEMENT ALONG THE WESTERLY BOL
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Landtec Surveying office:
iElevations, if shown: Revisions: Job Number: ip8481-SE Date of Field Work:11f13l2020 Drawn by: L.G.
481 E. Hillsboro Blvd. Ste 100-A
enchmark: XxxxXxXx
Deerfield Beach, FL 33441
3enchmark Bev.: XXXX jj -
Office: (561) 367-3587 Fax: (561) 465-3145
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enchmark Datum: XXXX
www1andtecsuniey.com
S U R V E Y _L N G
evakns on Drawing are in: p.od6iy S ��g Ftctlda's rand T 6 s R-1 Eslat, j w t,j_
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❑N.A.V.D.88❑