HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �I
Date:August-28, 201-5 , Permit Number:
RECE11� �D AUG 2� 201�
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: 6311 Oleander Avenue, Fort Pierce, FL 34982
Legal Description: CHARLES WAY LOT 3 AND THAT PART OF SEC 9-36-40 MPDAF: FROM SE COR OF S 1/2 OF NE 1/4 OF
SE 114 RUN W ALG SLI OF SD 114U 258 FT TO POB TH CONT ON SAME LI 130 FT TH N 145 FT TH E 130 FT TH S 145 FT TO POB(1.19 AC)(OR 3664-2145:367&701)
Property Tax ID#: 3409-804-0003-000-3 Lot No.3
Site Plan Name: McKenna Fence Install Block No.
Project Name: Install PVC Fence
Setbacks Front50+' Back: 2-4" Right Side: 2-4" Left Side: 30+'
DETAILED DESCRIPTION OF WORK
-.
Install 105 feet of 4 foot tall 3-rail PVC fence.
CONSTRUCTIGWINFORMATION
Acid it)ona I work toe e orme a under this permit—c ec apply:
HVAC 17 Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of FirstFloor:
Cost of Construction:$ 1,510.00 Utilities:-0Sewer_ septic Building Height:
OWNER/LESSEE: . CONTRACT OR:-
Name Delila McKenna Name: Darrick Bailey
Address:6311 Oleander Avenue 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.828-0158 Zip Code: 34986 Fax: 408-0272
E-Mail:dmckenna@bellsouth.net Phone No. 812-0223
Lfroam
fee simple Title Holder on next page(if different E-Mail: info@agreatfence.com
he Owner listedabove) State or County License:23954
e of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION' LIEN LAW INFORMATION:
DESIGNER/ENGINEER: N/A 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-instaliation has commenced priorto 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 t your propert .A Notice of Commencement must be recorded and posted on the jobsite
before the first nspection. If u intend to obtain financing, consult with len er or an attor. ey before
commencin rk or record' our Notice of Commencement.
///A/
s
_Sig tur of wner/Less / ent Signature of ntr ctor icense Hold r
STATE OF LORIDA STATE O FLORIDA
COUNTY OF STLucle COUNTY OF ST Lucie
The oing instruypent was acknowledged before me The forgoing instrument was acknowledged before me
forg
this day of 14 L16 S t 20 l�by this ZB'' day of Augi5t .20 15' by
Darrlck Balley 1 Darrick Bailey
(Name of person acknowledgin (Name of person acknowledgin
(Signature of Not lic-State f Florida) (Signature of Notary P lic-State of Florid )
Personally Kno n x OR Pr duce��ltila � Personally Known OR Produce dentification
Type of Identifi ation Produced \��� dC� ��� �'�i Type of Identificati Pro _�����►►Ii�iH���,,
EE839894 \ •••a,Ue�6'Insui a/PFJ! S��� EE839894 Q;IiO��OO
Commission NSeal yam. m Commission No. . �bG'�su'•. b .
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