HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 1, 2015 Permit Number: 0 spa "�a03
RECE1`' D OCT 0120b
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: FenceEl
PROPOSED IMPROVEMENT LOCATION
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Address: 611 N. Coconut Avenue, Port ST Lucie, FL 34952
Legal Description: RIVER PARK-UNIT 2 BLK 1 LOT 38 AND E 1/2 OF LOT 39 (MAP 34/22N)(OR 493-2798)
Property Tax ID#: 3419-510-0038-000-6 Lot No.38&39
Site Plan Name: Barnes Fence Install Block No. 1
Project Name: Chain Link Fence Install
Setbacks Front30' Back: 2-4" Right Side: 2-4" Left Side: 2-411
DETAILED DESGRIPTI:ONrQFWORK g
Install 338 L.F. of 5 foot tall black chain link fence with 1-10 double drive gate.
CONSTRUCTION INfORMATIO.N - - -}
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Additionalworkto e e orme un er t is permit—c eca appy:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing OSprinklers E Generator 1:1 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2,455.00 Utilities. Sewer E]Septic Building Height:
OWNER%LESSEE:` ;CONTRACTOR:
NameSandra Barnes Name: Darrick Bailey
Address:611 N Coconut Ave 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.561-309-1228 Zip Code: 34986 Fax: 408-0272
E-Mail:nalvloa5@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.
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PLEMENTAL,CONSTRUCTION LIEN LAW 41NFORMATION
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 recor ed and posted on the jobsite
before the first 'pection. If you i tend to obtain financing, consult with I der or an attorney before
commencingk or recording r Notice of Commencement.
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_Signat a of w Lessee/Ag Signature o tr c r/ icense Hol er
STAT OF LO DA STATE F FLO I
CO TM I Lucie COU OF sTL. cie
The foToing instrument was acknowledged bg ore me The forgoing instrument was acknowledged before me
this J day of OC i?J130,i_ 20 L5 by this �S� day of October ,20 by
Darrick Bailey 1 Derrick Bailey
(Name of person acknowledging) (Name of person ackn wledging)
(Signature of Not ic- tate of f` rida) (Signature of of ublic-St e o Florida)
u f Qii��si�
Personally Kno x \`` ,gcepq *ation Personally Know `\�����untui �rp�iuced Identification
Type of Identi cation Pro c Tc--d •' a'0��9S�/a'.''�6�'%. Type of Identifiion
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Commission 894 = a : N ® Seib m d Commission rn (Seal)
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Revised 07/15/2014 '''����o� ����\` `•,��3�0�
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS