HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 19, 2016 Permit Number:
SCANNED
• BY Fa t
St. Lucie County
Building Permit Application OCT 19 2016
Planning and Development Services PERM ITTI NG
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 Residential X
PERMIT APPLICATION FOR: Fence = 111
PROPOSED IMPROVEMENT LOCATION: III Address: 5890 S US Highway 1 Unit 1, Fort Pierce, FL 34982
Legal Description: To long to list here, see attached
Property Tax ID #: 3403-502-0338-IMOLot No.
Site Plan Name: Grove Community Fence Install Block No.
Project Name: install Chain Link Fence
Setbacks Front50+� Back: 20+' Right Side: 2-4" Left Side: 2-4"
DETAILED DESCRIPTION OF WORK:
Install 70 LF of 6 foot tall chain link fence.
CONSTRUCTION INFORMATION:
❑HVAC LJ Gas Tank ❑Gas Piping
❑Electric ❑Plumbing []Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 1,990.00
Shutters ❑ Windows/Doors
Generator ❑ Roof ❑ Roof pitch
S Ft. of First Floor: _
Utilities: Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Grove Community Assn Inc.
Name: Danick Bailey
Address:5890 S US Highway 1 Unit 1
Company: A Great Fence
City: Fort Pierce State•FL
Zip Code: 34982 Fax:
Phone No.332-2646
Address: 515 NW Enterprise Drive
City: Port ST Lucuie State: FL
Zip Code: 34988 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 CONSTRUCTION UEN LAWINFORMATION:
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: 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 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 fir;t inspection. If you intend to obtain financing, consult with lender orn attorney before
commencin ork or recdrdim vour Notice of Commencement. . �/
STATE OF F�ORIDA STATE OF FLgRIDA
COUNTYO sT Lucie Coamy COUNTY OF ST Lude County
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I? dayofDeThil7 1 20 Lby this'9 day of October 20 IL by
Darrick Bailey 1 Darrlck Bailey
(Name of psFsQn acknowledging,) (Name of
of Florida ) I (Signature of
Personally Know x OR Produced Identification Personally
Type of Identification Produced Type of Id(
Commission No. FF039152
Revised 07/15/2014
(FM*STAL BISHOP commission No. FFM9152
MY COMMISSION #FF03915
State of Florida )
Produced Identification
CRYSTAL BISHOP
MY CO lON #FF039152
EXPIRES July 24, 2017
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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COMPLETE
INITIALS