HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 20,2015 Permit Number: , 5®Ll -03 5 O
EQ:: �_. . RECEMM APR 2 0 7015
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
R.ROPOSED IIVIPR01/EIVIENT LO:CATI,ON
Address: 6727 Dickinson Terrace, Port ST Lucie, FL 34952
Legal Description: OLEANDER PINES REPLAT BLK 1 LOT 151 (0.237 AC)(OR 3712-2053)
Property Tax ID#: 3415-706-0022-000-0 Lot No. 151
Site Plan Name: Kurbiec Fence Install Block No. 1
Project Name: Install 6'tall PVC/Vinyl Fence
Setbacks Front 60+' Back: 24" Right Side: 2-4" Left Side: 2-4"
r ,
DETAILED DESCRIPTIOWOF�V1/ORK
Install 162' L.F. of 6' tall PVCNinyl fence with 2 5' walk gates.
CONSTRUCTION7 INFORMATION
Additional work toe nertormed under tis permit-c ec a appy. _
HVAC 0 Gas Tank ❑Gas Piping _Shutters E]Windows/Doors
Electric ElPlumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: ' S .Ft.of First Floor:
Cost of Construction:$ 2,14615-,66 Utilities:n Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR; .'
Name James Kurbiec Name: Darrick Bailey ti I
�, _....
Address:6727 Dickinson Terrace Company: A Great Fence
City: Port ST Lucie State:FL Address: 515 NW Enterprise Drive I
Zip Code: 34952 Fax: City: Port ST Lucie State:FL
Phone No.772-607-2486 I. Zip Code: 34986 Fax: 772-408-0272
E-Mail:jimnsandy654@comcast.net I Phone No. 772-812-0223
Fill in fee simple Title Holder on next page(if different E-Mail: info@agreatence.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. "
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SUPPLEMENTAL CONSTRUCTION
SUPPLEMENTALCONSTRUCTION LIEWLAW 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 Applicabile
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 the permit holder to build the sub)ect 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)wrli,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 yourpaying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first ippection. If you int fid to obtain financing, consult wit rider or an attorrieybefore
commencing k or recording o Noto of Commencement.
s
—Si g ur f ne Lessee/Ag Signatur of no/License Holdee/,(
STATE F FLORIDA ST aE (FLO:Rl ACOUNTY OF STLc�e COUF ST-d.
Theforoing instru/�ent was acknowledged before me The forgoing instrument was acknowledged before me
this2j)s- day of htPvLIL 20 1S by this 20th day of AP" 20 5—by
Damck Bailey 1 Darrick Bailey
(Name of person acknowledging) (Name of person acknowledging)
Vn IIItt!(q/
(Signature of Notary lic- ate of FI (Signature of Notary Public-St o I $ •
`� �•yl]I�01��,� ,, � �aue�nspia
Personally Known OR Prod ed I�ieSn `E t► �s y x _ V i ,
Personal) Known ORP ce tl all ci
Type of Identificati n Pr duced ���, „ csy: v= Type of Identificati Produce = ® `py
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Commission No. EEsasssa m • e 1) ® � D Q Commission N EEaasa ',��L I) 0°;•OdzQ
Revised 07/15/2014 //////1111111100N
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ..�.._. q,,.._,__ ...,,.....�.....�-.__.w_ _....._.-- -
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