HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETW FOR APPLICATION TO BE ACCEPTED
Date: Sept 12, 2019 Permit Number:
SCANNED
BY RECEIVED
• , St. Lucie County
Building Permit Applice tionSEP 2 4119
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone. (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:Pool Barrier Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 12103 Riverbend Road, Port ST Lucie, FL 34984
Property Tax ID #: 4422-502-0010-000-2
Site Plan Name: Perez Fence Install
Project Name: Install Alum Fence
DETAILED DESCRIPTION OF WORK:
POOL BARRIER, install 135' L.F. of 4' tall 2-rail alum fence with 3ea 4' walk gates.
CONSTRUCTIONINFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No. 6
Block No.
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,790.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:.
CONTRACTOR`.
Name Noel Perez Fountain Plaza Investment LLC
Name:Darrick Bailey
Address:12103 Riverbend Road
Company:A Great Fence
City: Port ST Lucie State: _
Zip Code: 34984 Fax:
Phone No.954-325-3199
Address:751 NW Enterprise Drive
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 7772-408-0272
Phone N0772-812-0223
E-Mail: noel@qualitytsi.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 License23954
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIO IEN LAW 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:
BONDING COMPANY: _Not Applicable
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, 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMEN EMENT MUST BE RECORDED AND
POSTED ON THE J SITE BEFORE THE FIRST INSPECTION. IF YOU INTE TO OBTAIN FINANCING, CONSULT
WITH YOUR LE'NDE�R•AN ATTORNEY BEFORE RECORDING YOUR NOTICE F COMMENCEMENT."
::22
Signature of er/ ss e/ ntractor Age for Owner
Signature ontr or ice se Hold r
STATE OF LORIDA
STATE FLORIDA
COUNTY F srwaa
COON OF srlaua
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 12 day of September 20_ by
this 12 day of September 20_ by
Derrick 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
CLn
Produced
(Signature of Nota atCRYFET")Y BISHO
(Signature of Not urr Ste
BISHOP
CRYSTAL
= MY COMMISSION # GG127618
Commission N , cc _ is '�= MY COMMIR§ � # GG1276t8
Commission No. DDt •0.�EXPIRES(391144, 20212021
EXPIRES July 24, 2021
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Rev. Z///19