HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date:August 2S, 20t5 Permit Number:
RECEIVED AUG 2 8 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 El
PROPOSED IMPROVEMENT LOCATIQM. =-' 4-4g
Address: 4703 Seagrape Drive, Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 07-BLK 28 LOT 10 (MAP 34/02N) (OR 3658-2404)
Property Tax ID#: 3402-608-0049-000-4 Lot No. 10
Site Plan Name: Villaieale Fence Install Block No. 28
Project Name: Install Wood Fence
Setbacks Front30' Back: 2-4" Right Side: 2-4" Left Side: 2-4"
tloqog��ON'OF WORK cs.,r.
Install 212 LF of 6 foot tall stockade wood fence with 15 foot walk gate and 1 10 foot double drive
gate.
- CH}NSTR�I}trl'IC3(V tNFORMi4TI0N � ��.s�
itiona wor to e e orme und er this permit–c ec" all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing []Sprinklers 11 Generator 0–Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2,410.00 UtilitiesSewerl—]Septic Building Height:
OWNER/LESSE'E CONTRACTOR:
Name Joe Villaieale Name: Darrick Bailey
Address:4703 Seagrape 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.342-3271 Zip Code: 34986 Fax: 408-0272
E-Mail: 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: 2394
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: wA. Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
(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 insp ction. If you intend to obtain financing, consult with lender or an attorney before
commencing wor r recording our Notice of Commencement.
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V ///o// s
_Signatur f 0,4V/Lessee/ Signature or/Lice s H der
7 STATE OF O IDA STAT FL RIDA
COU NTY OF ST Lucle COU OF ST Lude
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this 2h day of 4uGI,S i 20 IS by this-28th day of August 20 tS by
Dartick Bailey Af Dartick Bailey
(Name of person acknowledging (Name of person acknowl g)
(Signature of No?EE839894
li ate A Flor da) (Signature of ota1r fie i orida)
1\111111 Illi// x�,•a�ueirisu�°• X61 'moi
Personally KnowOR ��Cl y� fation Personally owld ��dentification
Type of Identificduc> .161 °'�. Type of Ide tifi�tjon:�gd�c °�• m
Commission NO. ' � a Commission �e Q;(Seal)
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Revised 07/15/2014 ., 'EIOU
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DATE
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