HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED OR APPLICATION TO BE ACCEPTED
Date: May 5, 2015 ��/ Permit Number:
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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 s
PROPOSED IMPROVEMENT LOCATION;:°
Address: 210 Olive Avenue, Port ST Lucie, FL 34952
Legal Description. "PARK-UNITY.BLK19 LOT 314-ESS BEG AT MOST COR OF SO LOT RUN EALG N 40FSO LOT613 Fr.TNSE58FT,TNN 38 DE-G38 MIN56 SEC W6633 FT,TH N 84DEG09 NM 49 SEC WBO.07
FT TO POB-AND THAT PART OF LOT W MFDAF:BEG STSE OOR OFSD LOT30RUN NE 8 FT.TH NW 11 TO S U OF SO LOT 54 FT,TH SW 6 FTTO S U OF SO LOT,TH BE 54 FT TO POB(MAP 3V2M(OR M.561382)
Property Tax ID#: 3419-510-0262-000-5 Lot No. 30&31
Site Plan Name: Collin Fence Install Block No. 19
Project Name: Collin Fence Install
Setbacks Front 35+' Back: 45+' Right Side: 35+' Left Side: 241
DETAILED DESCRIPTION OF WORK:
Install 13@ L.F. of 4@ tall chain link fence with 1 5@ walk gate and 9@ L.F. of 6@ tall board on board v
fence with 1 8@ double drive gate.
CONSTRUCTION INFORMATION:
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Additional work to e performed under this permit—check a appy:
HVAC E]Gas Tank Gas Pip Shutters Windows Doors
❑ g ❑Windows/
Doors
1:1 Plumbing E]Sprinklers F Generator R Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,190.00 Utilities. Sewer Septic Building Height:
OWNERR/LESSEE CONTRACTOR
Name Jeanne Collin Name: Darrick Bailey
Address:9669 Fanwood Court Company: A GReat Fence
City: Port ST Lucie State:FL Address: 515 NW Enterprise Drive
Zip Code: 34986 Fax: City: Port ST Lucie State:FL
Phone No.772-284-2673 Zip Code: 34986 Fax: 772-408-0272
E-Mail:jcac909O@gmail.com 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.
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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 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:Yo r failure to Record a Notice of Commencement may res in your paying twice for
improvements to your pr perty.A Notice of Commencement must be record and posted on the jobsite
before the first inspecti . If you intend to obtain financing, consult with I r or an attorney before
commencingwork•or r cord
in our Notice of Commencement.
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_Signature Own / se Agent Signature Co cto kens Holder
STATE O FL IDA STAT OF ORIDA
COUNTY OF T�ucle COUNTY FSTwde
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _ day of Mt+'/ 20 ��by this 5 day of "'ay 20 1 S by
Damdc Bailey 1 Dartick Bailey
(Name of person acknowle g) (Name of person acknowl dging)
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(Signature of Nota ublic-Staff FlDrida)s�, • s��.• v (Signature Notary Publ c-State= 51oria•) dd, d'fr;•��
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Personally Kno x O o�ui��Ide f1 #ii�° – Perso ally Known x O rod a nt caor .
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Type of Identi cation Pro ced a c ' � Q — Type f Identification Prod �, •_ o v
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Commission 839894 i�/'�6 �SQah''•• \\�` Commission No. EE839894 ''ib� eal}' \\\�
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Revised 07/15/2014
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