HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED.
Date: August 20, 2015 Permit Number: 15'6 Q 3 13
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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: 6401 S. Indian River Drive, Fort Pierce, FL 34982
Legal Description: 12 36 40 THAT PART OF N 100 FEET OF FOL DESC PROP LYG E OF FEC RR:BEG AT SE COR OF LOT 1 RUN W
28 CHS,TH N 7.36 CHS,TH E TO INDRIV,TH SLY TO POB-LESS S 225 FEET AND LESS RD RNV-(1.91 AC)(OR 3394-2802)
Property Tax ID#: 3412-123-0001-000-9 Lot No.
Site Plan Name: Johns Fence Install Block No.
Project Name: Fence Install
Setbacks Front 1' Back: 50' Right Side: 2-411 Left Side: 2-4"
DETAILED DESCRIPTION'OF WORK:
Install 548 L.F. of 4 foot tall chain link and 109 feet of 4 foot tall 2-rail alum fence with 2 16 foot roll
gates. AWliM ha bw advised NO stnictures
card 66€mtW wlthin any easwnw or
right bt way w1m otherwise approved.
CONSTRUCTION. INFORMATION
A��if�Ylt;hifkh i - ,
Additional work toe e orme under this permit—check a app y:
HVAC 11 Gas Tank FGas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 10,320.00 Utilities:Sewer Elseptic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameGeorge Johns Name: Darrick Bailey
Address:6401 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.954-632-6486 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN.FORMATION:.
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 the permit 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 inspecti n. If you intend to obtain financing, consult with lender or an attorney before
commencing work okf5dcording Vbur Notice of Commencement.
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_Signature of w r/ s e/ Signatu o fiv License Ho�/
STATE O FL RIDA STATE FLOR DA
COUNTY OF ST Lucie COV OF STLude
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2D day of ALJGU.S I 20 lSby this 20th day of August 120 [S by
Darridc Bailey 1 Darridt Bailey
(Name of person acknowledging (Name of person acknowledging)
(Signature of NEW Pub' e of Florida) (Signature of Notary Publi ate of Florida)
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Personally Kno x ������ a(�iced Identification Personally�GtfAA�rn ,R Produced Identification
Type of Id ificat! dui b ���i Type of I li ,tdorr Rr
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Commission No.—��s 0'�6 � %..y Seal) Commissi ai'oti E —�'Keo _ (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS