HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa
ALL APPLICABLE INFO MUST BE COMPLc ic�V FOR APPLICATION TO BE ACCEPTED
Date: April 14, 2016 SCANNED Permit Number:
BY RI� I:'�
St. Lucie County
_ .`":_ APR 1820
Building Permit Application
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Resi
PERMIT APPLICATION FOR: Fence 11 III
PROPOSED IMPROVEMENT LOCATION:
Address: 707 Kittennan Road, Port ST Lucie, FL 34952
Legal Description: MODEL LAND CO'S S/D OF SEC 15 36 40 BLK 3 N 1/2 LOT 4 IN SW 1/4-LESS KITTERMAN RD
RIW ALSO LESS RD R/W AS IN OR 3156-2614-(4.75 AC) (OR 1405-175)
Property Tax ID #: 3415-501-0041-000-0
Site Plan Name: Grace Emmanuel Church Fence Install
Project Name: Install Chain Link Fence
Setbacks Front 25'+ Back: 25'+ Right Side: 25'+
Left Side: 25'+
Lot No. 1/2 LOT 4
Block No. 3
DETAILED DESCRIPTION OF WORK: III
Install one hundred fifty eight feet of five foot tall green chain link fence with four -five walk gates and
one ten foot double swing gate.
CONSTRUCTION INFORMATION: III
HVAC ❑ Gas Tank ❑Gas Piping ❑ Shutters ❑ Windows/Doors
Electric El Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 2,490.00
S Ft. of First Floor: _
utilities: Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Grace Emmanuel Church, Inc.
Name: Darrick Bailey
Address:707 Kitterman Road
Company: A Great Fence
City: Port ST Lucie State:FL
Zip Code: 34952 Fax:
Phone No.834-8782
Address: 515 NW Enterprise Drive
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 408-0272
Phone No. 812-0223
E-Mail:
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: 23954
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIO N 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 TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counter 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 Commencement must be recorded and posted on the jobsite
before the fiW inspection. If you intend to obtain financing, consult with lender or an attorney before
COUNTY OF Sr WCIE
Thefor oinginstru7.)ent was acknowledged before me
this7dayof oWaiL 20 -/f&by
OF
The forgoing instrument was acknowledged before me
this 74 day of AP" 20 / (< by
Dar lck Bailey _k DaMrk Bailey
(Name of pvqn acknpayledging) �_ (Name of person
of
Personally Knowri�
Type of Identification
Commission No. FF039152
Revised 07/15/2014
OR Produced Identification Personally
Type of Id(
It�CcRRYS'TAL BISHOP
M r I ISSION NFF039152 COmmiSSIC
i
EXPIRES July 24, 2017
No.
of Florida )
Identification
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVI W
REVIEW
REVIEW
REVIEW
REVIEW
DATE
131:
COMPLETE
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INITIALS
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