HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q t�
Date: September Afi, 2015 Permit Number:
RECEIV-D SEP 16 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
PROPOSED IMPROVEMENT LOCATION:
Address: 130 Banyan Drive, Port ST Lucie 34952
Legal Description: RIVER PARK-UNIT 3-TRACT E BILK 135 LOT 5 (MAP 34/22S)(OR 3769-2419)
Property Tax ID#: 3419-520-0006-000-4 Lot No. 5
Site Plan Name: Mordan Fence Install Block No. 135
Project Name: Chain Link&Wood Fence Install
Setbacks Front25+' Back: 24" Right Side: 24' Left Side: N/A
DETAILED DESCRIPTION OF WORK:. ,; .
Install 80 L.F. of 6 foot tall chain link, 100 L.F. of 5 foot tall chain link and 45 L.F. of 6 foot tall BOB
wood fence with 1-5 foot walk gate and 1-9 foot double drive gate.
CONSTRUCTION,INFORMATION:
itional work toe oertormed under this permit—check all appy:
1IHVAC 0 Gas Tank F]Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing OSprinklers E]Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2,410.00 Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE!, ," CONTRACTOR:
Name Delsia Mordan Name: Darrick Bailey
Address:130 Banyan Drive Company:.A Great Fence
City: Port ST Lucie State:FL Address: 515 NW Enterprise Drive
Zip Code: 34952 Fax: City: Port ST Lucie State:FL
Phone No.240-5338 Zip Code: 34986 Fax: 408-0272
E-Mail:belsiarodriguez@yahoo.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.
SUPPLEME'NTALCONSTR�UC° ORMATION
... , M _ �t
�T,I QNLI E N LAWI N F,
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 i spection. If you intend to obtain financing, consult with le er or an attorney before
commencing k or recording our Notice of Commencement.
fAl
s
_Signatur of r/Less ent SignaturekC/tr i rise Hold111
STAT OF LO IDA STATE ACOIU TY QF ST Lucie COONe
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this /5-day of SL-P/Z-yLt(JL-2c. 20 L5by this 15 day of September 2015 by
Derrick Bailey 1 Darrick Bailey
(Name of person acknowledging) (Name of person acknowledging)
(Signature of ry I1W S i a of Florida) (Signature of No Public-Stat oto Vow
ii�� `�� ��0 �4
Personally Kn dole �6�}Iced Identification. Person 'I nown x Voducetrfd is „__
Type of Iden ca ' fir.• (� �s 'e Type of dentificati oducer�-,,5 �' %•`�
•4y� �6+� pyo•: J CS
CommisSlOri3Nlb' 894 8� a (Seal) Commission No. EE839894 a: CL
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Revised 07/NJ ••••\ �ol�i
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