HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE.ACCEPTED
Date: May 11, 2015 Permit Number: 5 5 J a 9
�• RECEIVED MAY 112015
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
PERMIT APPLICATION FOR:- Fence El
PROPOSED IMPROVEMENT LOCATION
Address: 9631 Windrift Circle, Fort Pierce, FL34945
Legal Description: PALM BREEZES CLUB(PB 49-32)TRACT A(3.373 AC)(AS PER PLAT DEDICATION DATED 8-22-05)
Property Tax ID#: 2310-500-0005-000-8 Lot No.
Site Plan Name: Palm Breezes Gate Install Block No.
Project Name: Gate Replacement
Setbacks Front 35+' Back: 35+' Right Side: 35+' Left Side: 35+'
DETAILED DESCRIPTION OF
Remove and replace 2 4''1-walk gates. G>r V8" y- .s8 " Lia wi7w /4 SL-eutLO-Y FkAzmE.
CONitiona work to STRUCTION_ INFORMATION r` r
e e orme
un er t is permit—c ec a appy: .
HVAC Gas Tank ❑Gas Piping Ll Shutters Q Windows/Doors
nElectric 0 Plumbing Sprinklers ElGenerator Roof
Total Sq. Ft of Construction: Sq.
of First Floor:
Cost of Construction:$ 2,245.00 Utilities:I_!Sewer F]Septic Building Height:
x�{ m S s § E.- 7.za
OIN^NERjLES5EE r ,F
4,;C,
Name Palm Breeze POA, Inc. Name: Darrick Bailey
Address:3900 Woodlake Blvd Suite 309 Company: A Great Fence
City: Lake Worth State: FL Address: 515 NW Enterprise Drive
Zip Code: 33463 Fax: City: Port ST Lucie State:FL
Phone No.772-233-8863 Zip Code: 34986 Fax: 772-408-0272
E-Mail:tpazanski@grsmgt.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.
SUPPLEMER
gA
t,.
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:Your failure to Record a Notice of Commencement may resul in your paying twice for
improvements to y9pr property.A No ice of Commencement must be record nd posted on the jobsite
before the first i ction. If you int d to obtain financing,consult with le r or an attorney befo
commencing w7
d or recordingo No ' e of Commencement.
Z�z s
_Signatu of wn Le see/Agen7 Signature on or ' e e Holder
STAT OF LORIDA STAT F F RIDA
COUNTY OF ST Lucie COUNTY sTLuGe
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this it day of HItY , 20 �.STby this " day of m'y ,20 by
Danick Bailey 1 Dardck Bailey
(Name of person acknowleing) (Name of person acknowledging)
(Signature of Not ic-Stat, (Signature of Not Public
Personally Know x oduc2itali I Qtjon Personally Kno n x R.PrBir'ei 1. kation
Type of Identi ation t 'e`�S °fes•.° Type of Identifi tion�� , �, m`'��• s
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Commission NO. EE839894 W . O ® ( a v Commission NO. ee9398W WLu
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS