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HomeMy WebLinkAboutSLC Permit Info - City of PSL Rangeline RdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: February 10, 2021 Permit Number: � o LLUCuL O p Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial X Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Fence PROPOSED IMPROVEMENT LOCATION: Address: 14171 Range Line Road, Port ST Lucie, FL 34987 Property Tax ID #: 4225-111-0003-000-5 Site Plan Name: McCarty Ranch Extension Fence Install Project Name: Install Wood Fence DETAILED DESCRIPTION OF WORK: NOT POOL BARRIER, install 186' L.F. of 4' tail 3-rail wood fence with 3-ea 16' swing gates. New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. Block No. Additional work to be performed under this permit— check all that apply: Mechanical Gas Tank _Gas Piping Shutters Windows/Doors Pond Electric — Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 5,290.00 Generator Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Mabel Groves Ltd Name: Darrick Bailey Address: PO Box 568367 Company:A Great Fence City: Orlando State: Zip Code: 32856 Fax: Phone No.772-201-8426 Address:751 NW Enterprise Drive City: Port ST Lucie State: FL Zip Code: 34986 Fax: 772-408-0272 Phone N0772-812-0223 E-Mail:dburdett@cityofpsl.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above] E-Mail info@agreatfence.com State or County License CGC1527571 If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires. 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: State: City: State: City: 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 ao the worK an❑ 1M LdlldllVll ab 111V1 dv=U. 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, l 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 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 yo tend to obtain financing, consult ..;4-k lnrr 4— .,1- n 4tnrmn%i hofnra rnmmanrin❑ 1tvnrlc or rPf_ordin2 youf Nbtice of Commencement. VVIL11 IC11UC1 W1 U11 Y66 �- ...+"+M `•`'• •• ••'•"'•' �"' -' ---' ' F / Signature of Owner Lessee/Contractor Ag nt for Owner Signature of . antra t /Llcen .e Holder STATE OF FLO,©A STATE OF FLO A COUNTY OF rj( COUNTY OF sTLucle 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 10 day of February 2020 by this 10 day of February 2020 by DarKak 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 ]dentif' ion Produce Produced {Signature of Notary Pu I State of Florida) (Signature of NotarCRYSTAL ���•.. LB BISHOP Commission No. cc127 a,•i.*Y".iiJ., CRY Y BISHOP Commission No. �� ? = MY COIIIIMISW)GG127618 =�: 'c MY COMMISSION # GG12751 B . p F� +: EXPIRES July 24, 2021 =+ ... • XPIFtES Jul 24, 2021 REVIEWS FR NING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/5/20