HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
'Date: 5116/2016
Permit Number:
w _
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FC 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5523 PLACE LAKE DR FT PIERCE FL 34951
Legal Description: PORTOFINO SHORE -PHASE THREE -(PB 43-40) LOT 264(OR 2500-2094)
Property Tax ID #: 1312-503-0060-000-3
Site Plan Name: LAVIAL FENCE PROJECT
Project Name: LAVIAL FENCE PROJECT
Setbacks Front- Back:- Right Side:
DETAILED DESCRIPTION OF WORK:
INSTALL 201.1 LF OF U TALL PVC 12-5' WALKGATES
CONSTRUCTION INFORMATION:
A etiona wor to e pe Orme un ert is permit— c
QHVAC LJ Gas Tank uGas Piping
11 Electric 1:1 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2057.00
OWNER/LESSEE:
Name AGNES LAVIAL
Aririra¢t. 5523 PLACE LAKE DR
Lot No. 264
Block No.
Left Side:
an n app+y:
Shutters a Windows/Doors
Generator 11 Roof
SFt. of First Floor:
Utilities L
Sewer ^I{Septic
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Rhnna Nn_ 772-940-9634
E -M ail: -
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above)
Building Height:
CONTRACTOR:'
Name: DARRICK BAILEY
Company. A GREAT FENCE
Address: 515 NW ENTERPRISE DR
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 Fax: 77240$0272
Phone No. 7728120223
E -Mail: INFO@AGREATFENCE.COM
State or County License: J17
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ldl
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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 l will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments -
The foilowing 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 OWN : Your failure to Record a Notice of Commencement may result in your paying twice for
improvements t qjr property. A Notice of Commencement must be recorded and posted on the jobsite
before the fipt in6ection. If you intend to obtain financing, consult witk� lender or an attorney before
commend w k or cording our Notice of Commencement. , r:
S
_ Signa re of Owner/ Le ee gent Signat ontractor/ se Holder
STATE OF FLORI �f STATE OF FLOR
COUNTY OF _ tIc I COUNTY OF 14 L
f.
The forgoing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
this Ip day of 1-10- 20 li by this I It day of � 20 t -Lf by
(Name o on acknowledge ) (Name of person acknowledgin
(Si gnatur otary li - State of F orida (Sig ry u Iic- State of Flot-" a }
" c� T 113HOP �P��„ d5cye%T1*nfAQP
_° ygen I (cation Personally Known = `�R Pr
Personally Known R Produced Cci
Type of Identification l <° My COMMISSION #FFb39T52` Type of ldentifica iQ t. fly COMMISSION #FF039152
Tr e; Uy "TeoFo? EXPIRES July 24, 2017
'••.FOF'F��,.,
Commission No. f407)398-0153 Flor' ry5ervice.com Commi5510n NO. (407)398-0153 FIoridallot Epe±ce.com
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS