HomeMy WebLinkAboutBuilding Permit Application - Cancelled - Do Not Use All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 12, 2021
Permit Number:
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: fence
PROPOSED IMPROVEMENT LOCATION:
Address: 3601 N Highway A1A, Hutchinson Island, FL 34949
Property Tax ID#l: 1423 802 0001 000 1
Site Plan Name: Mellon Patch Fence Install Lot No.
Project Name: Install chain link and wood fence Block Na.
[DETAILED DESCRIPTION OF ) ORK:
NOT POOL BARRIER, install 753' LF of 4'tall chain link fence with 1-ea 4'walk gate, 2-ea 12' roll gates and 1-ea 10'
double swing gate. Install 104' L.F. of 6'talf chain link fence with black privacy mesh.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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: $ 18,360.00 Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Mellon Patch LLC Name:Darrick Bailey
Address:3601 N Highway AlA Company:A Great Fence
City: Hutchinson Island
State: Address:751 NW Enterprise Drive
Zip Code: 34949 Fax: Port ST Lucie
City: FL
State:
Phone No,305-220-3606 Zip Code: 34986 772-40State:
9 Fax:
E-Mail:jorock Y 6@gmaiLcvm Phone No 772-812-0223
Fill in fee simple Title Holder on next page ( if different E-Mail info@agreatfence.com
from the Owner listed above) State or County License CGC1 527571
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: NiA 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 Dome 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 roirtire
orded in the public records of St.
Lucie County and p sted on the jobsite before the first inspection. If yotend to obtain financing, consult
with lender or an for ore c mmencin work or recordingour of Commencement.
ff. TZ/
Signature of Owner/ essee/Con ractor a Ag t for Owner Signature of Con ,actor/Li ense H er
STATE OF FLO DA STATE OF FLORIDA
COUNTY OF STLucie COUNTY OF SILude
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 12 day of May , 2020 by this 12 day of May 2020 by
Dafrick 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
CRYSTAL Y B1SROi'
a „Y, y BIS"Op :`� Ypvs Y IVINIi5S14N#GG127618
R
(Signature of Notary P b a`jt!I* aI�SIo N 0 (Signature of Notary Pu e of F! "y
EXPIRES July 24.2W1 , s
Commission No, cc1z7s1t�l� Commission No. cG127s1, (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/5/20