HomeMy WebLinkAboutBuilding Permit Application r �
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .
Date. December 18, 2015 Permit Number: J a
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
P�R,,QPOSED IMPROVEMENT LOCATION:
Address: 2302 Atlantic Beach Blvd, Fort Pierce, FL 34949
Legal Description: REV PL OF FORT PIERCE SHORES-UNIT 4-BLK 30 LOT 12 (OR 3681-786)
Property Tax ID#: 1436-603-0023-000-0 Lot No.12
Site Plan Name: Collada Fence Install Block No. 30
Project Name: Install PVC Privacy Fence
Setbacks Front30+' Back: 2-411 Right Side: 15+' Left Side: 15+'
DETAILED DESCRIPTION,OF WORK: 'r
Remove thirty two L.F. of six foot tall privacy PVC and reinstall sixty seven L.F. of six foot tall
privacy PVC with two walk gates.
;CONSTRUCTION INFORMATION ., . , �
Additional work toe nerformed under this permit—check all apply:
HVAC 0 Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing I]Sprinklers F]Generator Roof
Total Sq. Ft of Construction: ScnSewerF]
of First Floor:
Cost of Construction:$ 690.00 Utilities: Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Robert Collada Name: Darrick Bailey
Addre,,.ss.2302 Atlantic Beach Blvd Company: A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise Drive
Zip Code: 34949 Fax: City: Port ST Lucie State:FL
Phone No.561-722-3272 Zip Code: 34986 Fax: 408-0272
E-Mail: 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.
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 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 'Inspection. If you intend to obtain financing, consult with rider or an attorney before
commenc' rk or recordiyfg y9Vr Notice of Commencement.
s
_Si tur o her/Less Ag t SigZTE
o ra or/Licen old r
S ATE OFF RIDA SF L IDA
COUNTY O ST Lucie COUNTY OF ST Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 19 day of Q LCL-YMU f , 20 `Sby this 18th day of December 20 L by
Darrick Bailey 1 _ Derrick Bailey
(Name of person acknowledging) (Name of personackno ed g)
(Signature of a lir;. Florida) (Signature 1 ti¢- to of orida)
ague lsu•, ( i
Personally r� �• � yp Jc d Identification Persona Ktivt� _%Q• duced Identification
Type of Ide isatl' rode o• m = Type Ii if lorAPl�du c
; y
Commissi .• T 0°sp•• (Seal) C miss'ogVU 4 Ae a z (Seal)
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS