HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:*0M—,z0T6 �' Permit Number: r
- , E
- Building Permit Application APP 18 2016
Planning and Development Services PERi'dIITi'ING
Building and Code Regulation Division St. Lucie County, FI
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence
PROPOSED I M PROVEM ENT,LOCATION:
Address: 615 N Coconut Avenue, Port ST Lucie, FL 34952
Legal Description: RIVER PARK-UNIT 2-BLK 1 LOT 36 (MAP 34/22N)(OR 1031-402)
Property Tax ID#: 3419-510-0036-000-2 Lot No.36
Site Plan Name: Stein Fence Install Block No. 1
Project Name: Install PVC Fence
Setbacks Front25'+ Back: 24" Right Side: 25'+ Left Side: 24°
DETAILED DESCRIPTION OF WORK-'Install one hundred and two feet of six foot tall PVC fence.
CONSTRUCTION INF.ORMATIO.N:
itiona wor to e erformed under this permit–check all t=apply:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers F Generator Roof
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 2,350.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Ronald Stein Name: Darrick Bailey
Address:615 N Coconut Avenue Company: A Great Fence
City: Port ST Lucie State:FL Address: 515 NW Enterprise Drive
Zip Code: 34952 Fax: City: Port ST Lucie State:FL
Phone No.879-7810 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.
SUPPLEMENTAC;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 t your property. A Notice of Commencement must be recorded and posted on the jobsite
before thq firs nspection. l you intend to obtain financing, consult . h lender or an attorney before
commen in rk or reco in our Notice of Commencement.
1 -7
z- s
S' at wner/ a /Agent Sign/urf nt ctor/Licen oldATE O FLORI F RIDACOLINTY OF sTLucl OOF STLUCIE
The forgoing instru nt was acknowledged efore me The forgoing instrument was acknowledged before me
this /�f day of ~&tL 20 / by this 14 day of"PN .20 l by
Damck Bailey 1 Darrick Bailey
(Name of person ackno ledging) (Name of person acknowledging
a4�Wr
(Signature ofN -State of Florida) (Signature of No ublic-State of Florida)
Personally Kn n X R Produced ldpntifirntinn Personally Kn n X fication
SHO
Type of Identification r• r+ovc rn1 RIc Type of Iden kation Prod c 'P`°�=:
'2 P
"� MY CO MIS6ION#FF039152 `'•, Qs MY M ISSIO ,
Commission No. FF039 2^'.. • 4 S Commission No. FF03915z ?F'o......oPa;; N FF039152
oFrti,,.•' EXP�Re�July 24,2017 (407)398,•• 5Al July 24,
0153 UI 2017
(407)39&0153 FloridallotaryService.com Florfdallotaryservice
Revised 07/15/2014
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