HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April IIQ, 2019
Permit Number:\ `� _1'a7S I
SC ----
St 4p eyNE .d RECEIVED
L-WS1612%
Cie C
-- Buildingoi�mit Application APR 1 1 2019
Planning and Development Services ST. Lucie P-oenty, 00(litting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT TYPE: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 14175 R ne Road, 34987 (;
Property Tax ID#:4234-11 - -9 Llk-15-n)- CIM-5
Site Plan Name: City of PSL Fence Install
Project Name: Install Wood Fence
DETAILED DESCRIPTION OF WORK:
Install 114' L.F. of 4' tall 2-rail wood post and rail fence with 2ea 16' single swing gates.
Lot No.
Block No.
CONSTRUCTION INFORMATION: 71
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 5166.00
_ Gas Piping
_ Sprinklers
Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NamePort ST Lucie City Of
Name: Darrick Bailey
Address:121 SW Port ST Lucie Blvd
Company -.A Great Fence
City: Port ST Lucie State: _
Zip Code: 34984 Fax:
Phone N0.579-2308
Address:751 NW Enterprise Drive
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 408-0272
Phone N0812-0223
E-Mail: pvignier@cityofpsl.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 License23954
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 IMPROVE NTS TO YOUR PROPERTY. A NOTICE OF COM ENCEMENT MUST BE RECORDED AND
POSTED ON THE J SITE BEFORE THE FIRST INSPECTION. IF YOU END TO OBTAIN FINANCING, CONSULT
WITH YOUR N O ATTORNEY BEFORE RECORDING YOUR ICE OF COMMENCEMENT."
/
Signature o wn Lessee 7Contr for as Agent for Owner
Si n ure nt ctor/Lic a HI er
STATE F FLORIDA/
ATE OF FLORIDA /
COUNTY OF sTw�a
COUNTY OF STLude
The forgoing instrument was acknowledged before me
this 10 day of Apd] 2019 by
The forgoing instrument was acknowledged before me
this 10 day o/f�Apdi 20 /7 by
W-t.w� r c1314LLL:-[
1+1 �L c� 1// 14-/tL
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 of Notary u lic- State of Florida I
(Signature o otary Public- a of orida I
Commission No. G 12 l8f COVAL Y BISHOP
:•'' ' =
MY COMMISSION b GG727618
Commission No. GG12761e ,.•• ;; CRYhWY BISHOP
•'= MY COMMISSION N GG727fi18
.',fa,t
.' EXPIRE
July 24,
u y , ZUZI
REVIEWS
FRO
PLANS
VEGETATI
REVIEW
REVIEW
REVIEW
REVIEW
COUNTER
REVIEW
REVIEW
DATE
'1
RECEIVED
DATE
COMPLETED
Rev.2/7/19