HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED tool
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Date: January 23, 2016 Permit Number: I coo l -
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 i
PROPOSEWMR VEMENT.LOCATI'ON
Address: 3728 Sandlace Court, Port ST Lucie, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB-BLK 53 LOT 7(OR 3746-236)
Property Tax ID#: 3425-706-0277-000-3 Lot No.7
Site Plan Name: Wallen Fence Install Block No. 53
Project Name: Install PVC Fence
Setbacks Front 30+' Rack: 15+' Right Side: 10+' Left Side: 10+'
DETAILED DESCRIPTION OF WORK w M`
Install fourty eight L.F..of three foot tall two rail PVC fence with one four foot walk gate.
CONSTRUCTION INFORMATION
Additionalwork toe nertormed under this permit—check all
. 'th&U appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers E Generator E] Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,990.00 UtilitiestSewer Septic Building Height:
OWNER/LESSEE ' "CONTRACTOR:
Name Stella Wallen Name: Darrick Bailey
Address:3728 Sandlace Court Company: A Great Fence
City: Port ST Lucie State:FL Address: 515 NW Enterprise Dr
Zip Code: 34952 Fax: City: Port ST Lucie State:FL
Phone No.270-403-9192 Zip Code: 34986 Fax: 408-0272
E-Mail:gIendainloridaggmail,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 LAIN INFORMATION,
M.._. .:
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 insp ion. If y i tend to obtain financing, cons with lend or an attorney before
commencing wor ore ordi r Notice of Commencement.
s
_Signature f O r/ esse /A nt Sign Contr or License Holder
STATE F F O A S TE F FLORIDA
COUNTY OF LUCIE COUN OF STLUCIE
The forgoing instrument was acknowledgedefore me The forgoing instrument was acknowledged before me
this Z3 day of Tf+ UiVt0( 20 lLby this 23rd day of January 20 i Lo by
Darrick Bailey 1 Darrick Bailey
(Name of person acknowledging) (Name of person ackno/w ging)
(Signature of Notary Pu Ic-State of orida) (Signature of ary Public-Sta of Florida)
Personally Known x OR Produced Iden ification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Pro .
Commission No. FF039152 ;of>P POO:•, 13MTAL BISHOP Commission No. FF039152 .A, %ITjAL BISHOP
MY C MMISSION#FF039152
MY COMMISSION#FF039152 EXPIRES Jul 24,
EXPIRE9 Y 2017
of F�,„” S3 Florida NotaryService.com
Revised 07/15/2014 (407)398.9153 FloridallotaryService.com
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