HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f–
Date: June 9, 2015 –/S' Permit Number: VJ—b a
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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 El
PROPOSEDzIMPROVEMENT��LOCATION a., _,� 1 _ . ,�y,��� � ,,
Address: 6819 Dickinson Terrace, Port ST Lucie, FL 34952
Legal Description: OLEANDER PINES BLK 1 LOT 42 (0.22 AC) (OR 1054-2024; 2402-2628)
Property Tax ID#: 3415-705-0043-000-0 Lot No. 42
Site Plan Name: Aarts Fence Install Block No. ' 1
Project Name: PVC Fence Install
Setbacks Front35+' Back: 5' Right Side: 2-4" Left Side: 2-4"
'COFWO'RKx f ILEDDEDTAN
Y
Install 135-feet LF of 6-foot tall privacy PVCNinyl fence with 2ea 5-foot walk gates.
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itiona wor to e e oAdd
rmee under this permit-check a v appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing OSprinklers Generator 1-3 Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 2,455.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE
Name Jacklyn Aarts Name: Darrick Bailey
Address:6819 Dickinson Terrace Company: A Great Fence
City: Port ST Lucie State:FL Address: 515 NW Enterprise Drive
Zip Code: 34952 Fax: City: Port ST Lucie State:FL
Phone No.772-579-5959 Zip Code: 34986 Fax: 772-408-0272
E-Mail: Phone No. 772-486.3238
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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SUP:PLEM!EN��L C®NS�TRa.IJ'C�TI®.N L�IE�N (.��Uu I'NFOR<IUI�A�TI®N
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 theermit 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
improvements to our property.A Notice of Commencement must be recorded and posted on the jobsite
before the first ' pection. If you intend to obtain financing, consult with I der or an attorney efore
commencingk or recording o r Notice of Commencement.
. /////�v /// s
_Signa7&re #e�essee/Age Signature o o aLic se Holder
STATERIDA STATE F ORIDACOONST Lucie COUNTY ST Lucie
The forgoing instru=nt was acknowledged before me The forgoing instrument was acknowledged before me
this 9 day of JU" . 20 tsby this 9 day of June 20 by
Derrick Bailey 1 Darrick Bailey
(Name of person acknowledging (Name of person acknowle in
(Signature of Not ublic-State o```�p[itltleJlll//i/�� (Signature Public,``
Personally Known ORP d' ,fentc �gn%s. Persona y Known x ( A' ed I •r1 tion
Type of Identificatio Producedm �16 A''s• Type of Identification Prc,�iieW� aN. U
aaoi = �r ® in, F—
Commission No. EE8398 (S al - t� q Commission No. EE839894`m��Jn Ie
i O �•:�✓ d:.' �� �i Boded• �� ��
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Revised 07/15/2014 N�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS