HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: October 22, 2015 Permit Number:
RECEIti".D OCT 23 201
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 I.MRROVEMENT LOCATION:
Address: 5610 Spruce Drive, Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 09-BLK 73 LOT 18 (MAP 34/12N) (OR 3461-810)
Property Tax ID#: 3402-610-0101-000-4 Lot No. 18
Site Plan Name: Rodrigues Fence Install Block No. 73
Project Name: Chain Link Fence Install
Setbacks Front2-4" Back: 2'4" Right Side: 2-411 Left Side: 25+'
DETAILED DESCRIPTION OFWORK:
Install two hundred twenty feet of five foot tall chain link with one five foot walk gate. Replace two
wood walk gates on existing fence.
CONSTRUCTION INFORMATION:
Additional wor to be e orme un er this permit—check all appy:
11HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2,490.00 Utilities:Sewer OSeptic Building Height:
OWNER/LESSEE.; CONTRACTOR;
Name Sarah Rodriguez rutobs Name: Darrick Bailey
Address:5610 Spruce 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.813-838-3526 Zip Code: 34986 Fax: 408-0272
E-Mail:sarahg1103@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.
SUP`PLENIfNTAL _CONSTRUCTION LIEN LAW INF,ORMATIO,N
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 pection. If you intend to obtain financing, consult with lender r an attorney before
commencing wgrK or recgrding your Notice of Commencement.
s
_Signat f w r/ es ee/Agent Signa e f ntractor Li rise Holder
STATE F FL IDA STATE O FLORID
COUNTY OF ST Lucie COUNTY OF STLucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 22 day of CSC77IrL-� 20 l5by this 22 day of October .20 js by
Darrick Bailey k Darrick Bailey
(Name of person acknowledgin ) (Name of person acknowledging)
(Signature of Notary lic-Sta of Florida) (Signature of Not Public-State of FI rida)
% souaui�� eeptunutui�
Personally Known ���R d �fG ntification Personally Kn ' Hn,.,(3�,pro ced Identification
Type of Identificati n Ped•' , •. �' ''� Type of Ide 1 atipa
Commission No. EEa3�4n .�ti Q SSI Commiss' r�IQ839 (Seal)
uJ •ter ® CO
w o.m � sr .�p w �°
Revised 07/15/201 '° •No``Q�.`` ''��, og,°�°° •No``Q``\.�`
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS