HomeMy WebLinkAboutSLC Permit Application - Heather KilbreathAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 10, 2021 Permit Number:
O
T;
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 LOCATION:
Address: 9301 Portside Drive, Fort Pierce, FL 34945
Property Tax ID #: 2310-500-0122-000-4
Site Plan Name: Kilbreth Fence Install
Project Name: Install Wood Fence
DETAILED DESCRIPTION OF WORK:
NOT POOL BARRIER, install 124' L.F. of 6' tall wood fence 4' walk gate.
New Electrical Meter Second Electrical Meter
X
Lot No. 5
Block No. 5
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing Sprinklers _ Generator
Windows/Doors Pond
_ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction. $ 2,190.00 Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Heather Kilbreth
Name: Darrick Bailey
Address:9301 Portside Drive
Company:A Great Fence
City: Fort Fierce State: _
Zip Code: 34945 Fax:
Phone No. 772-361-5290
Address:751 NW Enterprise Drive
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 772-408-0272
Phone N0772-812-0223
E-Mail: kilibrizzle@gmail.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
n vdIue or construction is z5uu or more, a KtLUKutU Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 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 y u intend to obtain financing, consult
with lendVgr an attorney before commencing work or recording o_ Notice of Commencement.
Signature
STATE OF FLORIDA
COLT NTY O F ST Lucie
ractor as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 10 day of February 2020 by
Darrick Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced -
J
(Signature of otary Puh�i - ate o Florida )
Commission No. GG127s' (Seal)
Contractor/License
STATE OF FLORIDA
COUNTY OF STLueie
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 10 day of February , 2020 by
Darrick Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary P lic- State of Florida )
Commission No. GG127618
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
How L,