HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L�
Date: April 20,2015 RECEPermit Number:
PV�p APR'2 p 2N
Building Permit Application
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 Residential X
PERMIT APPLICATION FOR: Fence
PROPOSED INCPROVEMENT.LOCATIO:N
Address: 5011 Paleo Pines Circle, Fort Pierce, FL 34951
Legal Description: HOLIDAY PINES S/D-PHASE II-B-LOT 339 (MAP 13/13N)(OR 3671-2959)
Property Tax ID#: 1312-801-0142-000-7 Lot No. 339
Site Plan Name: Beattie Fence Install Block No.
Project Name: Beattie Install 6'tall PVC Fence
Setbacks Front 50+' Back: 10+' Right Side: 22' Left Side: 2-4"
DETAILED DESCR(OTION OF WORK ��}
,.
Install 210' L.F. of 6' tall PVCNinyl fence with 2ea 5' walk gates & 18' L.F. of 4' tall chain link with
lea 5' walk gate. Removal of old fence.
CONSTRUCTION INFORMATION
Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers E Generator ❑Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2,410.00 Utilities:0 Sewer Septic Building Height:
OWN ER/LESSEE CONTRACTOR:
Name Erricka Beattie Name: Darrick Bailey
Address:5011 Paleo Pines Circle Company: A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise Drive
Zip Code: 34951 Fax: City: Port ST Lucie State:FL
Phone No.540-272-7497 Zip Code: 34986 Fax: 772-408-0272
E-Mail: Phone No. 772-812-0223
Fill in fee simple Title Holder on next page(if different E-Mail: info@agreatfence.com
from the Owner listed above) State or County License: 23954
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEME:NTAL'CONSTRUCTION LEEN 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: X Not Applicable
Name: 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 thepermit 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 TOO NER-Your failure to Record a Notice of Commencement may result in your paying twice for
improvements t your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first. spection. If you intphd to obtain financing, consult with le er or an attorney before
commencing ork or recording o Notice of Commencement.
s
Si atur of - n /Lessee/Ag Signature C ract /License der
S AT OF FLORIDA STAT OF FLOR A
COU TY OF STI_ucie COUNTY OF sTL-ae
The forgg9ging instru�f�ent was acknowledged before me The forgoing instrument was acknowledged before me
this -Aday of MAtm— 20 tby this 20th day of AP"' 20 !S by
Damck Bailey 1 Damck Bailey
(Name of person acknowledging (Name of person ackn wl
(Signature o otary Public-S e of Florida) (Signatu of otary Pub"c-St�����4�Flp'}��}
'N111UIIIlilt/, �y �
Personally n X OR Prodi I4®ltlt3fii , Per nally Known X ��LJR otl ation
Type of Identificat roduced N��� .• b �'�. Ty e of Identification Pr` Icen4d•
Commission No. EE83sssa =? aYS�l) `� pyo•._ ommission No. EE B _ sN �,' ( e
® � _ i �� ® a: _N_
Tflil > O °` e
;ao mac: Q00 S.
Revised 07/15/2014 ��'�. �b��0atia. \`�� ���Z `\`.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS