HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO tM-PST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-16 1 kV LO {' Permit Number: - 1
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L Building Permit Application APR 18 2016
Planning and Development Services. PER;41ITTING
Building and Code Regulation Division 5t. 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 El
PROPOSED;IMPROVEMENT LOCATION
Address: 5852 Sunberry Circle, Fort Pierce, FL 34951
Legal Description: PORTOFINO SHORES (PB 43-6)LOT 470 (OR 2079-199)
Property Tax ID#:1312-501-0129-000-9 Lot No.470
Site Plan Name: Burger Fence Install Block No.
Project Name: Install PVC Fence
Setbacks Front25'+ Back: 24' Right Side: 24' Left Side: 2-4"
DETAILED-DESCRIPTION OF WORK:
Install one hundred thirty four feet of six foot tall PVC fence with two five foot walk gates.
CONSTRUCTION,INFORMMATION
Additional work to be nerformed under this permit-check all that appy:
[1HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3,680.00 Utilities: Sewer FISeptic Building Height:
OWNER/LESSEE:. " CONTRACTOR:
Name Christine Burger Name: Darrick Bailey
Address:5852 Sunberry Circle Company:,A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise Drive
Zip Code: 34951 Fax: City: Port ST Lucie State:FL
Phone No.561-213-8274 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 tAW 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 bW recorded and posted on the jobsite
before the 'rst inspection. If you intend to obtain financing, consul ith lender or 4n attorney before
commencAg work or r cording our Notice of Commencement.
s
Owner/ a e/Agent Sign r f ractor/L' a se older
S A O FLORIDA STA OF F ORIDA
COLIN OF STLUCIE CO NTY OF STLUCIE
The for oing instr ent was acknowledged before me The forgoing instrument was acknowledged before me
this / day of #P1.IL 20 Li.by this 14 day of "P"I 20 1& by
Derrick Bailey Damck Bailey
(Name ofper cknowled g (Name of person acknowle ging)
(Signature of Notary blic-State of Florida) (Signature of Nota blic-State of Florida)
Personally Known x Personally Known KA �e&IR PrgdilAt MOP
Type of Identification Pr dr �'RYSTAL RISHnP Type of Identifica ori P usp
=r,: o:'� �'•. :'c 152
1 "= MY COMMISSION#FF039152 '•.' EXPIRES J
ie /S,, I, Commission No. 2�J)2017
Commission NO. FF039152 �•.. o XPtRES Jul 24,2017
oF� ;. E y FloridallotaryService.com
(407)398-0153 FloridallotaryService.com
Revised 07/15/2014
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