Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE CCI�PLETED FOR APPLICATION TO BE ACCEPTED
Date: January 26, 2021 Permit Number:
CC re O -U01 m
R" Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 3 982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:' Fence
PROPOSED IMPROVEMENT11LOCATION:
Address: 418 E Coconut Avenue, Part ST Lucie, FL 34952
Property Tax ID #: 3419-510-0122-
Site Plan Name: Goetzinger Fence
Project Name: Install PVC Fence
DETAILED DESCRIPTION OF !WORK:
NOT POOL BARRIER, install 177' LF of 6' tall PVC privacy fence with 2-ea 5' walk gates.
New Electrical Meter
nd Electrical Meter
9
Lot No. 4
Block No. 14
i CONSTRUCTION INFORMATION: I
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: $ 4,690.00 Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Monica Goetzinger
Address:418 E Coconut Avenue
City: Port ST Lucie
Name: Darrick Bailey
Company:A Great Fence
State: _
Address:751 NW Enterprise Drive
Zip Code: 34952 Fax:_
Phone No.989-560-6305
E-Mail: monicag9404@gmail.com
Fill in fee simple Title Holder on n
from the Owner listed above)
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 772-408-0272
Phone No772-812-0223
�xt page 4 if different
E-Mailinfo@agreatfence.com
State or County License CGC1527571
IF „al— WI 4VIIiLILIL.LIVII I, s,LF„ 111 IFIVIV) a ME%.VMUrU 11011Ce Or Lommencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCT ION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:_
Zip: Phone:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVI I: 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 representatioh that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Hpme 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,
III
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, tithe Florida Building Codes and St. Lucie County Amendments.
The following building permit applicatio I s are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, feInces, 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 inspection. If you intend to obtain financing, consult
with lender or Xn attgrney before commencing work or recording your N(*ce of Commencement.
Signature of Ovior/
STATE OF FLORIDA
COUNTY OF sT Luaie
as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 26 day of January �020 by
Darrick Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced r
(Signature of Notary Pu Tic- Statf F CRYSTAL Y BISHOP
' _ o
Commission No. cc127616 F lutY( MiSSt0N # GG1276 8
EXPIRES July 24, 2021
REVIEWS FRONT ZONI
COUNTER REVII
DATE
RECEIVED
DATE
COMPLETED
Signature of Vtractor/License Hoer
STATE OF FLORIDA
COUNTYOF SRLLde
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 26 day of January 2020 by
DaMck Bailey
Name of person making statement.
Personally Known X
Type of Identification
Produced
ature of N
mission No.
OR Produced Identification
&rdgr6MGG127618
EXPIRESJul Se.1- 21
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
II
LOT 24 LOT 21
BLACK 14 BLOCK 14 LOT 22
BLOCK 14
outil
ID)
�. a..
LOT 4
BLOCK 14tri
r
hod,
c td`
© M
LOT 5 NE S70R'Y T�
BLOCK 14 R .
Z LOT 3~
o BLOCK 14 `
o
a
� Y� rt
7
c2 f
o c2
BEARING,
(ND 10) BAM
� 1-
S `00`00'E 75.00'
Sp°0E]'i��•E � r
250.00,
NE CORNER OF r
COCONUTBLOCK 14
AVENUE EAST
L
(50' Rf �+
IS' ASPh4LT RWWAr45
�!
�y plyy
P-TA �na� -