HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 6, 2016 Permit Number:
R EC
Building Permit Application FEB m 9 20;5
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: 1402 Copenhaver Road, Fort Pierce, FL 34945
Legal Description: 13 35 39 N 150 FT OF N 1/2 OF SW1/4 OF NE 1/4 LYG WLY OF W RNV 1-95-LESS W 25 FT-(1.24 AC)
(OR420-1753; 3445- 1571)
Property Tax ID#: 2313-132-0001-020-6 Lot No.
Site Plan Name: Hawse Fence Install Block No.
Project Name: Install Chain Link Fence
Setbacks Front 25+' Back: 25+' Right Side: 5+' Left Side: 5+'
DETAILED DESCRIPTION OF WORK: -
Install three hundred fifteen L.F. of four tall chain link fence and one five foot walk gate.
CONSTRUCTION INFORMATION:
Additional wor toe nertormed under this permit—check a appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3,015.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: :CONTRACTOR;
Name Courtney Hawse Name: Darrick Bailey
Address:1402 Copenhaver Road Company: A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise Drive
Zip Code: 34945 Fax: City: Port ST Lucie State:FL
Phone No.480-6053 Zip Code: 34986 Fax: 408-0272
E-Mail:chawse1351@bellsouth.net 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
Ir!e 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 r corded, nd posted on the jobsite
before the first 'Inspection. If you intend to obtain financing, consult w' lender or an attorney before
commencing rk or recc)tding your Notice of Commencement.
s
_Sign /FkIORID
nr/ s /Agent Signatu o tracto / '60 se Holder
ST E STA F LORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Lo day of 20 !L by this 60h day of February .20 f t- by
Darrick Bailey 1 Derrick Bailey
(Name person ack wTdL) ,' (Name oMMA
(Signature of N a y Public-State of F rida) (Signature of No ry Pu Ic- Flor' a)
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Personally Known x R R�{^,t y�e en I Ica rsonally Known x (" rod X61118 af�$
Type of Identification Pr du a e`er`; CRYSTAL BFSHOP T pe of Identification P o. _. ;op Y eoM OP
(407EXPIRESFF03g
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Revised 07/15/2014
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