HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August 4, 2015 Permit Number: ' �1
Building Permit Application RECE
Planning and Development Services AUG 0 5 205
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 PERi�tl�i
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential st.Xucie
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION .;
Address: 7405 Santa Rosa Parkway, Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 4-BLK 38 LOT 12 (MAP 13/11 n) (OR 3756-1680)
Property Tax ID#: 1301-604-0204-000-1 Lot No.12
Site.Plan Name: Quinn Fence Install Block No. 38
Project Name: Install 6'Tall Wood Fence
Setbacks Front30+' Back: 2`41' Right Side: 10+` Left Side: 24"
DETAILED DESCRIPTION OF WORK:'
Reinstall 372 feet LF of 6 foot tall shadow box wood fence with 1-3 foot walk gate and 2-5 foot walk
gates.
CONSTRUCTION INFORMATION
Additional work toe performed under this permit–c ec a appy:
HVAC0 Gas Tank ❑Gas Piping U Shutters Q Windows/Doors
0-Electric 0 Plumbing Sprinklers F-1-Generator ® Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
_Cost.of_Construction:$ 2,415.00 Utilities:ll Sewer.ElSeptic Building Height:
OWNERAESSEE CONTRACTOR
Name Patricia Quinn Name: Darrick Bailey
Address:7405 Santa Rosa Parkway 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.359-3431 Zip Code: 34986 Fax: 408-0272
E-Mail:patg1251@gmail.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 LIEN 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: N/A 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 Count/makes no representation that is granting a permit will authorize thepermitholder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an 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 ur property. A Notice of Commencement must be recorded and-posted on the jobsite
before the firstA pection. If you intend to obtain financing, consult with lender or an attorney before
commencin 4 rk or recoriding4our Notice of Commencement. 1117
s
_Sig tur o er/Le ee gent Signatur7FFU
ntr r/ cen Hrr
STAT OF FL RIDA STATE RIDA
COUNTY OF Darrick Bailey COUNTY OFDarrickBalley
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this VOclay of /4u6ur% 20 /-S-by this " day of AupSt .20 15' by
Darrick Bailey 1 Darrick Bailey
(Name of person acknowledging) (Name of person acknowledgin
(Signature of Notary Public- ate of lorida) (Signature of Notary Pub' -State of Flo 'da)
`��►uuuuui X%%,uuuutr�,
Personally Known x R @4MWU '*ntification Personally Known JOR ced Identification
Type ofldentification du gdbue;" Type of Identific on
.Li EP6P /s•
Commission No. sees •¢ ��, ` sl Commission No. ��' `�:m= (Seal)
ye.
i ( •`Y0OAVI �� Y ZJS0
Revised 07/15/201 �,,�t3e 4\08
\�� •�` <s :�,U... •• `\`���
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
' o