HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 2, 2015 Permit Number:. 5��
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RECEI E
Building Permit Application
Planning and Development Services Jul .0 6 .2015
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 IM,P,ROVEMENT LOCATION
Address: 10208 South Indian River Drive, Fort Pierce 34982
Legal Description:
Property Tax ID#: 3529-2340007-000-1 Lot No. 1
Site Plan Name: Novak Fence Install Block No.
Project Name: Install Wood Fence
Setbacks Front 150+' Back: 50+' Right Side: 35+' Left Side: 2-4"
DETAILED`DESCRIPTION O.F WO'RK
Install 161 feet of 6 foot tall board on board wood fence with lea 26 foot to 28 foot double swing
gate (depending on gate opening).
COIVSTR 'CTION INFORMATION
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Additional work to be erformed under this permit—c eca appy:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing E]Sprinklers []Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 2,455.00 Utilities:ll Sewer ElSeptic Building Height:
`01NNER%LESSEE:, <`CONTRACTOR:
Name Mark Novak Name: Darrick Bailey
Address:10208 S. Indian River Drive Company: A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise Drive
Zip Code: 34982 Fax: City: Port ST Lucie State:FL
Phone No.772-341-3855 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: County 23954
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEM!ENTAI.CONSTR�U ��,ItONLI�EN�lA4W�INF�RMA310N� � � } + f ��{ �a
DESIGNER/ENGINEER:( X Not Applicable MORTGAGE COMPANY:y _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 TO OWNER:Your failure to Record a Notice of Commencement mayre . It in your paying twice for
improvements to your operty.A Notice of Commencement must be recor d and posted on the jobsite
before the first insp ion. If you int n to obtain financing, consult with I der or an attor ey before
commencingwor recordingo tice of Commencement.
. � s
_Signature of a ssee/Age Signature of n a r/ icense H er
STATE OF F RIDA STATEF ORIDA
COUNTY sr�ude COUNTY F sTLude
The forgoing instrument was acknowledged b fore me The forgoing instrument was acknowledged before me
this 7 day of TUL`[ . 20 � by this 2 day of 'u" 20 15- by
Dartidc Bailey 1 Darridc Bailey
(Name of person acknowled ing) (Name of person acknowled
(Signature of Nota ublic-Sta e o (Signat Notary ' L� ��?r{Pf�da)
Personally,Know x OR Pr uc@d I °rj lPr ti '� Person y Known R•f� '94-witification
Type of Identific tion Produced Type Identification cads • _ �'
_ = : CIJ
Commission No. 839894_ o m' N eal��� Commission No. EEO
9 4° A D: $al)
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS