HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPrED
Date: ALIGucT 31 , wily( Permit Number: % � • ®nia
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Building Permit Application SCANNED
Planning and Development Services BY
Building and Code Regulation Division 'St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Fence III
PROPOSED IMPROVEMENT LOCATION: 111
Feeder Road
Legal Des-?, priOot) LAKEWOOD PARK -UNIT 12A-BLK 179 LOTS 15, 16, 17, 18 AND 19 (MAP 13/13N) (OR 62237-1285)
Property Tax ID #: 1301-615-0226-000-5 Lot No.
Site Plan Name: Hometown News Fence Install Block No. 179
Project Name: Fence Install
Setbacks Front30+' Back: 30f•' RightSide:.30f- r LeftSide: .304-1
DETAILED DESCRIPTION OF WORK:
Install 104' LF of 6' tall chain link fence with green privacy slats and lea 24' roll gate. Cruz-(
?&Imc-t S1r+—m, .
CONSTRUCTION
INFORMATION::
Die
itiona wor to e e orme un er
is perm - c ec
a
app y:
11HVAC
❑Gas
Piping
_Shutters
❑Windows/Doors
Electric El Plumbing
[]Sprinklers
Generator
11
Roof
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 2,460.00
Utilities: Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Hometown News
Name: Derrick Bailey
Address: 5059 Turnpike Feeder Road
Company: A Great Fence
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-467-4386
Phone No. 772-359-0016
Address: 540 NW Mercantile Place
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 772-408-0272
Phone No. 772-812-0223
E-Mail: mooty@hometownnewsol.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.
E
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —Not Applicable
Name: N/A
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _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 OV
improvements to
before the first in
r FLORIDA
OF sr wde
Your failure to Record a Notice of Commencement may result in your paying twice for
Iroperty. A Notice of Commencement must be recorded nd posted on the jobsite
39. If you intend to obtain financing, consult with lenor an attorney before
The forgoing instrumr�ent was ac nowledged before me
this 31 day of FlUGu 20 14 by
r 1
person
(Signature of NotaZ
-sta `` o4jgl®Ol��0�i����
Personally Known locIpted Id�{t§fi ataoj
Type of IdentificatiouceTl <•• `=
a :yam 9 yy e• 2
Commission No. EE939394 m
$_dad'•. yew _.'��
Revised 07/15/2014
Signature
STATE OI
COUNTY
The forgoing instrument was acknowledged before me
this 3± day of August 201q by
Danidc Bailey
(Name of person acknowledging)
(Signature of
Type of
Commission No. EE839894
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
COMPLETE
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INITIALS