HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July*2015 Permit Number:
°=
RECEIVED JUL.10 2015
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
PROPpSED.IMPROVEMENT LOCATIdN
Address: 5602 Myrtle Drive, Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT-08-BLK 55 LOT 17 (MAP 34/11N) (OR 3740-2997)
Property Tax ID#: 3402-609-0115-000-1 Lot No. 17
Site Plan Name: Fiengo Fence Install Block No. 55
Project Name: Install chain link fence
Setbacks Front 25+' Back: 25+' Right Side: 2-4" Left Side: 2-4"
DAILD DE
ESCRIPTION
ETOFf,WO'RK
Install 26 lineal feet of 4 foot tall chain link fence with 2ea 5 foot walk gates.
:CONSTRUCTION INFORMATION =A
Additionalworkto F flasTank
orme un er t is permit-c ec a appy:
HVAC ❑Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 740.00 Utilities:Sewer Septic Building Height:
'OWN:ER/LESSEE . CONTRACTOR.
Name Lisa Fiengo Name: Darrick Bailey
Address:5602 Myrtle 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.203-823-5532 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: 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 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 your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first ' spection. If you intend to obtain financing,consult wit nder or an attorney before
commencin rk or recordirl#yooNotice of Commencement.
s
_Sign =Less7nt Signa re r or/Licens der
STAT OF S T F FLORIDA
CO TM OF ST Lude TY OF ST Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this B day of LTJLY . 20 !?by this a day of 'u'y 20 I-T by
Damdc Bailey Danidc Bailey
(Name of person acknowledging) (Name of person ackn I )
(Signature of Nota Publ' tate of Florida) (Signature f ota�1��pI� Stat of Florida)
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Personally Known x OR °1°e (cation Persona K x duced Identification
Type of Identifi ion Produc`� �b '�, Type idegi*tWn Pro QdYo
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Commission N EE83989a Q`*�o ® Q e N Com ISsi 988 M : (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS