HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED //ry�
Date: December, 2015 Permit Number: 1512,-(20 ion
RECEIVED
Building Permit Application DEC 0 3 2015
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982
St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence El
PROPOSED IMPROVEMENT LOCATION: _
Address: 5708 Papaya Drive, Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT-09-BLK 79 LOT 7 (MAP 34/12N) (OR 3799-178)
Property Tax ID#: 3402-610-0272-000-3 Lot No. 7
Site Plan Name: Johnson Fence Install Block No. 79
Project Name: Install Chain Link fence
Setbacks Front25+' Back: 2-4" Right Side: 25+' Left Side: 2-4"
DETAILED DESCRIPTION OF WORK:
Install eighty eight feet of four foot tall chain link fence with one six foot wide walk gate.
CONSTRUCTION INFORMATION:
Additional work toe nerformed un er t is permit—check all appy:
11HVAC 0 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing OSprinklers El Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,140.00 Utilities. Sewer Septic Building Height:
OWNER/LESSEE:- CONTRACTOR:
Name Karen Johnson Name: Darrick Bailey
Address:5708 Papaya 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.209-2128 Zip Code: 34986 Fax: 408-0272
E-Mail:karenjohnson499@gmail.com Phone No. 812-0223
Fill in fee simple Title Bolder 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION=
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 theermit 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 firs spection. q you intend to obtain financing, consult wit lender or an attorne before
commencing,Work or recooingyour Notice of Commencement.
s
Si at wner/Le ee/ gent Signatur of KlaDA7/ c Hold
S AT OF LORI D STA OF FL
COON OF SLuce COUNTYOF
The forgoing instrument was acknowledged before me The forgoing instrument was cknowledged before me
this 1 day of h L-CL-�yL60,L. . 20 tS by this 'a' day of December .20 15 by
Darrick Bailey 1 Damck Bailey
(Name of person acknowl ging) (Name of person ackno dging)
(Signature o Public-State lorida) (Signature 9111Q, e o orida)
7)!�� • d r
Perso ly Known x �����. d Identification Personal ff,,��u1�3 x a�uced Identification
Typ of Identificati o uced �' °'�. Type of nT7ftclD �uccd
o J 8398�a all Com IOJor 'Ar (Seal)
Revised 07/15/Q,�� '•••••••
VIII
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS