HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOWAPPftiATION TO BE ACCEPTED /� r� �/ /
Date: September 8, 2016 Permit Number: 1& 0,49% / Co
SCANNEL,
BY
_ St. LucieCounn RECEIVE®
Building Permit Application SEP 12 2016
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Fence E
;PROPOSED W PROVEM ENT LOCATION: }
Address: 13516 NE Indian River Drive, Jensen Beach, FL 34957
Legal Description: See attached
Property Tax ID #: 4509-804-0000-000-2
Site Plan Name: Indian River Landing Fence Install
Project Name: Chain Link Fence Install
Setbacks Front25' Back: 25' Right Side: 25' Left Side. 25'
Block No.
I'DETAILED DESCRIPTION OF WORK:
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CONSTRUCTIOWINFORMATION: • III
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11HVAC
U Gas Tank
Gas Piping
U Shutters
❑
Windows/Doors
Electric
0
Plumbing
Sprinklers
E Generator
E]
Roof
=
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 12,185.00
S Ft. of First Floor: _
Utilities: Sewer ElSeptic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Namelndian River Landing Condo Assoc Inc.
Name: Danick Bailey
Address: P.O. Box 2751
Company: A Great Fence
City: Stuart State:FL
Zip Code: 349956 Fax:
Phone No.834-5866
Address: 515 NW Enterprise Dr
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 408-0272
Phone No. 812-0223
E-Mail:dawn@signaturepropertymgmt.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: 23954
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCO
EN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
Zip: Phone:
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 Commencement must be recorded and posted on the jobsite
before the first ynspection. if yow intend to obtain financing, consult with lenOer or an attorney before
commenci s rk or recordi vour Notice of Commencement_ a //
COUNTY
The forgoing instrgu ent wa9acknowledged before me
this 8 day of JCPTLj?rrdL>_ . 20y
STATE OF FL
COUNTY OF
The forgoing instrument was acknowledged before me
this a day of Septembe` 20 _by
Derrick Salley i Derrick Balley
(Name of person acknowledging) (Name of person acknowledging)
calo
(Signature of Nqk ry ublic-Ste of Florida) (Signat
Personally Knob0fl X d IdentiFea AL BISH prsona
f
Type of Identification Produ RYSTAL BISHOP T pe of
MY COMMISSION #FF0391 2
Commission No. FF839152..e ' (SIRES July 24, 2017 C)mmi!
Revised 07/15/2014
of Notar17110
- State of Florida )
Known R Produced Identification
Intification Produce
°`' °- CRYSTAL BISHOF
n No. FF039152 - '. (58a1:1JMMISSION #FF039
c'
'''•;Fo��o"�` EXPIRES July 24. 2017
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