HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j J,,p�
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Building Permit Application APR 18 2016
Planning and Development Services PERMITTwG
Building and Code Regulation Division St. Lucie County, FL
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: 1124 Coral Street, Fort Pierce, FL 34982
Legal Description: WHITE CITY S/D 09 36 40 E 97.23 FT OF W 122.23 FT OF N 115 FT OF LOT 223 (0.26 AC)
(MAP 34/09S)(OR 3801-151)
Property Tax ID#: 3403-502-0255-000-9 Lot No.223
Site Plan Name: Vam Fence Install Block No.
Project Name: Install Wood Fence
Setbacks Front25'+ Back: 24' Right Side: 2-4" Left Side: 24'
DETAILED DESCRIPTION OF WORK:
Install two hundred seventy one feet of six foot tall board on board wood fence with one five foot
walk gate.
CONSTRUCTION INFORMATION:
Acid itiona I work to be nertormed under t ispermit—check a11 appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
nElectric 0 Plumbing OSprinklers FIGenerator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4,290.00 Utilities: LnJ Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameVarn Groves Inc Name: Darrick Bailey
Address:1124 Coral Street 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.201-0995 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 y#ur property.A Notice of Commencement must be recorded and posted on the jobsite
before the firWQr
ection. If you intend to obtain financing, consult wit"Ie er or an attorney before
commencing recording our Notice of Commencement.
s
_Signa to er Lessee/Age Signature f o r Lic a Ider
STA O A STAT F ORI A
COUNTY LUCIE CQU OF STLUCIE
The forgoing instrulnent was acknowledged before me The forgoing instrument was acknowledged before me
this F day of APM— 20 /Gby this 14 day of Apf1 20 /G by
Darrick Bailey Danick Bailey
(Name of per acknowledgin (Name of person acknowled
(Signature of Notary blic-State of Florida) (Signature of Notary Publ' - of Florida)
Personally Known x ersonally Known x Produced Identification
.�....`a a of Identification
Type of Identificati Prod CRYRTAL BISHOP yp
MY COMMISSION#FF0391,5
Commission No. FFo3915z '9F-....-op (SeHAIRES July 24,2ot7 Commission No. FFo39 52; `°= CRY �3iSHO?
MY C
OMMISSION#FFC)39152
(407)398-0153 •FloridallotaryService.com � �"'JFOF"Fc?�°' EXPIRES
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