HomeMy WebLinkAboutBuilding Permit Application 77-Z i-ZN - L - OG / 'Z--
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: July 29, 2015 Permit Number: 0'7
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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
PROPOSED IMPROVEMENT LOCATION:
Address: 4901 Green Dolphin Street, Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 1-BLK 4 LOT 15 (MAP 13/14N) (OR 275-2889)
Property Tax ID#: 1301-601-0046-000-6 Lot No.15
Site Plan Name: Donohoe Fence Install Block No. 4
Project Name: PVC Fence Install
Setbacks Front25+' Back: 1' Right Side: 2' Left Side: 2'
-DETAILED DESCRIPTION OF;WORK: J
Install 482 feet L.F. of 6 foot tall privacy PVC fence with lattice with 1-3 foot walk gate, 1-5 foot walk
gate and 1-10 foot double drive gate.
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CONSTRUCTION INFORMATION-
Additional work to be performed under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping Q_Shutters Windows/Doors
Electric 0 Plumbing Sprinklers E]Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 13,000.00 Utilities:]Sewer E Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJudith Donohoe Name: Darrick Bailey
Address:4901 Green Dolphin Street Company: A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise Drive
Zip Code: 34951 Fax: City: Port ST Lucie State:FL
Phone No.979-3813 Zip Code: 34986 Fax: 408-0272
E-Mail:possom111 @aol.com Phone No. 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.
SUPPLEMENTAL,CONSTRUCTION LIE_N'LAW INFORMATION: ,
DESIGNER/ENGINEER: wA 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: NSA 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 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 in5gection. If you intend to obtain financing, consultwith nder or an attorney before
commencing w or recording our Notice of Commencement.
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_Signat a of er/ ssee/A t Signatur f tr or/ ' ense Hol
STATE OF LORIDA STAT FLORIDA
COUNTY OFST Lucie CQUN QFsTLuGe
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 24 day of J VL-t 20 l Shy this 29 day of '"'y 20 B1 by
Darrick Batley 1 Darrick Bailey
(Name of person acknowledging) (Name of person ackno le ging)
(Signature of Nota y P 11q" E04#Florida) (Signature of No pq� tate of Florida)
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Personally Known .{ �;g� tl' �cdentification PersonallyK$bwn •••. > fyducedldentification
Type of Identific �n P oduced ff ��s. �_ Type of Iditzfi4�ion P� ¢e��
Commission No. �84 N k al) Commissian5l0z�e398s� y _ (Seal)
Revised 07/15/201'��8Oa `���\`• .����i'l�O�.'..., ``````\�.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW_ REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS