HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t +
Date: January 5, 2016 Permit Number:
Building pp 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: 6418 Riverland Drive, Fort Pierce, FL 34982
Legal Description: TO ILINSON'S UNRECORDED PLAT OF PART OF LOTS 215 AND 216 IN SEC 9-36-40 LOT 6
(0.34 ac)(OR 3790-814)
Property Tax ID#: 3409-705-0006-000-0 Lot No.6&215&216
Site Plan Name: Morgan Fence Install Block No.
Project Name: Install Chain Link Fence
Setbacks Front30+' Back: 25+' Right Side: 30+' Left Side: 2-4"
DETAILYED DESCRIPTION OF WORK:
Install one hundred seven L.F. of four foot tall black chain link fence with two five foot walk gates.
CONSTRUCTION=INFORMATION:
Additional work to be nertormed under t ispermit—cneCK a appy:
HVAC Gas Tank ❑Gas Piping OGenerator
Shutters Windows/Doors
1 Electric Plumbing ❑Sprinklers Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,490.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Linda Morgan Name: Darrick Bailey
Address:6418 Riverland 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.701-595-2776 Zip Code: 34986 Fax: 408-0272
E-Mail:lindanwebb@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.
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,1 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 ins ection. If you intend to obtain financing, consult with lender or an attorney before
commencing)NoyWor recording our Notice of Commencement. 14
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_Signat e o /Lessee/ en Sign7ECIF
of ontr ctor/L' nse Ider
STA OF FLORIDA STA FL RIDA
COUNTY OF STLude COUNTY OF STLucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this D. day of JAIJU AILI 20 t�by this 5th day of January 20 1 io by
Darrick Bailey 1 Darrick Bailey
(Name of person acknowledging) (Name o 6 acknowled in )
(Signature of Notary Public-State of Florida) (Signature of Notary Public--State of Florida),,
Personally Known x ' ication Personally Known x iP adyce ation
Type of Identification Pro ui °BC Type of Identification ProduAL e _
MY OM ISSION#FF039152 FF039152 P�f I P OP`Dr+ MY C w /SS10 B' P
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Commission No. FFo391sz ;9; P�` ;Pad Commission No. (� N#FF039152
S July 24,2017 8.0153 SS Judy 24,2017
(407)398-0153 Floridallotary y 24. .com FlOri dallotarl se
Revised 07/15/2014 rviE . .
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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