HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (X�
Date: July 25, 2018 SCANNED Permit Number: 1 u
BY
St. Lucie County
• RECEIVED
Building Permit Application
Planning and Development Services JUL 302Gi8
Building and Code Regulation Division ST. Lucie County,
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 8227 Business Park Drive, Port ST Lucie, FL 34952
Legal Description: ST LUCIE BUSINESS PARK S 19 FT OF LOT 1 AND LOT 2 - LESS S 12 FT- (0.97 AC) (OR 1229-1315)
Property Tax ID #: 3426-702-0003-000-3 Lot No.1 8 2
Site Plan Name: WinSupply Fence Install Block No.
Project Name: Install Chain Link Fence
Setbacks Front25' Back: 25' Right Side: 25' Left Side: 25'
(,DETAILED DESCRIPTION OF WORK:
Install 218' LF of 8' tall black chain link fence with tea 20' roll gates.
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J i `-a-d rot\c�c ! o ew pia'
CONSTRUCTION INFORMATION:
ArinitinnniWnrietnhanartnrmarl iinriarthic normit—r ar t nt onn v
HVAC ❑Gas Tank 1:1Gas Piping ❑_Shutters ❑Windows/Doors
Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 8790.00
S Ft. of First Floor: _
Utilities:Sewer ❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameWinSupply
Name: Derrick Bailey
Address: 8227 Business Park Drive?
Company: A Great Fence
City: Port ST Lucie State:FL
Zip Code: 34952 Fax:
Phone N0.353-1417
Address: 751 NW Enterprise Drive
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 408-0272
Phone No. 812-0223
E-Mail:mlelzen@winsupplyinc.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
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:.",
Address: ----- ----
City: I State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address -
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: -' ' State:
Zip: Phone:
BONDING COMPANY:
Address:
Zip:
—Not Applicable
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 Commencement must be recorded and posted on the jobsite
before the first inspf ction. If you intend to obtain financing, consult with lender r an attorney before
commencing r r recording our Notice of Commencement.
Signature Ow / ee/Con r ct r as Agent for Owner
{ n
Signature of on arAA
Hol
STAT F IF
STATE O RICOu�
O ST Ga
COUNTY F STLu
The forgoing ins rument was ac nowledged before me
The forgoing instrument was acknowledged before me
this 25 day of My 20 /B by
this 25 day of July
20 A9 by
DaMck Bailey
Darcick 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
Produced
(Signature ot<otary Pub - St of Florida
(Signature of NotaIRV
j !,�;1 BISHOP
Y BISHOP
Commission No. GG127 "° fiec,
SSION#GG127618
GG1 8 ' # GG127618
Commission No. � •�COI���^'�91�)
M COMSI�fAL
Otea
July 24, 2021
'
-F:•�nES July 24, 2021
EXPIRES
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
`
f{
RECEIVED
DATE
/�
COMPLETED
L
00
Rev.8/2/17