HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 7, 2021 Permit Number:
�)'l�o L ur C D E
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: 1401 Mallard Court, Fort Pierce, FL 34982
Property Tax ID #: 3409-503-0030-000-7
Site Plan Name: Jacobs Fence Install
Project Name: Install Chain Link Fence
1 DETAILED DESCRIPTION OF WORK:
X
Lot No. 27
Block No.
NOT POOL BARRIER, install 152' LF of 4' tall chain link fence with 1-ea 5' walk gate and 1-ea 6' double swing gate.
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
—Electric —Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3,440.00
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Lynn Jacobs
Address:1401 Mallard Court
Name:Darrick Bailey
Company:A Great Fence
City: Fort Pierce State:
Zip Code: 34982 Fax:
Phone No. 772-370-1838
Address:751 NW Enterprise Drive
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 772-408-0272
Phone N0772-812-0223
E-Mail info@agreatfence.com
E-Mail: boucher.monique@yahoo.com
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
State or County License CGC1527572
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, wails, 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 ygUr property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and q0st9d on the jobsite before the first inspection. If u intend to obtain financing, consult
with lender or anfittofneaefore, commencing work or recording Notice of Commencement
f//A/
Signature of Owner Lessee/C ntractor as A ent for Owner
Signature I6f C actor License Hold r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STL.69g
COUNTY OF STL.de
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 7 day of �uRE2020 by
this 7 day of June 2020 by
Damck Bailey
Dardck Baley
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
Produce
Produced
CR STAL Y BISHOP
Not Public- S ate•"T ?rid
{Signat o�71242M
MY COMMISSION # GG12
(Si nature of Notary P $ Iq�JSION #� GG127616
618
a ; EXPIRcS July 24, 2021
Commission ='F"O (5ezH) PIRE5 Jviy 24, 202
Commission No. 07124r2
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