HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 6, 2016 Permit Number: llll czr —
L-w-6-1-ALF&W-
Building Permit Application RECEIVED
Planning and Development Services FEB —9 2016
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: 12387 S. Indian River Drive, Jensen Beach, FL 34957
Legal Description: MILLER'S S/D ALL THAT PART OF N 145.78 OG S 180.78,FT OF LOT 3 LYG E OF LI 490 FT W
OF AND//TO W RNV OF S IND RIV DR-LESS RDR/W-(OR 3761-780)
Property Tax ID#: 4504-603-0014-000-1 Lot No. 3
Site Plan Name: Brown Fence Install Block No.
Project Name: Install Chain Link Fence
Setbacks Front 5' Back: 50+ Right Side: 5' Left Side: 5'
DETAI"LED DESCRIPTION.OF WORK_
Install one hundred seventy five L.F. of four foot tall black chain link fence with one seventeen foot
roll gate with operator. Electric by others.
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC 13 Gas Tank E]Gas Piping Shutters Windows/Doors
❑Electric ❑ Plumbing []Sprinklers. Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7,330.00 Utilities:Cn Sewer[]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Chris Brown Name: Darrick Bailey
Address:12387 S. Indian River Drive Company: A Great Fence
City: Jensen Beach State:FL Address: 515 NW Enterprise Drive
Zip Code: 34957 Fax: City: Port ST Lucie State:FL
Phone No.561-248-0969 Zip Code: 34986 Fax: 408-0272
E-Mail:sbrown0104@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, 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 you property. A Notice of Commencement must be recorded and posted on the jobsite
before the first in5KeAion. If you intend to obtain financing, consult with �enr or an attorney before
commencing wpfk pt recording r Notice of Commencement.
s
_Signat a ofr/ ssee/Agent Signature of o cto Licens older
STATE OF FLORI A STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this lo day of FgatLu",l 20 I�o by this su' day of ""'`y 20 t & by
Darrick Bailey 1 Da"ick Bailey
(Name of person ackno ledgi ) (Name of person ackno ledgin )
t
(Signature of No (Signature of otary I?uilig Smote n
,.•tarty a�• ;ac ��YSTAL
C STAL BISHOPMy C
Personally Known ". Rrgodt�ggQ +fe Personally Known x `•.�FR�'ProdX9jf�cFRPS
Type of Identificatio P ® ',�i Type of Identificati �l
lodda% '2017'
(407)398-D153 Floridallota Servlce '' tarySe 'ce.co
Commission No. FF039152 Commission No. FF039152 m
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW. REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS