HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 18, 2016 Permit Number: ��"C'�G" C)y 1
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REP:` JUN 2 0 706
Building Permit Application
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: 806 Howard Street, Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 5-BLK 24 LOTS 57 AND 58 (MAP 34/02S) (OR 3779-538)
Property Tax ID#: 3402-606-0125-000-5 Lot No.57&58
Site Plan Name: Cerrone Fence Install Block No. 24
Project Name: PVC&Wood Fence Install
Setbacks Front25+' Back: 2-4" Right Side: 25+' Left Side: 2.4"
DETAILED DESCRIPTION ORK
Install 235 LF of 6 foot tall PVC with 1 double drive gate and 330 LF of 6 foot tall wood fene with
1-5 foot walk gate.
CONSTRUCTION INFORMATION
Additional work to be nertormed under t ispermit—check k a appy:
HVAC Gas Tank Gas Piping _Shutters a Windows/Doors
0_Electric Plumbing Sprinklers 1:1 Generator El Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 12,600.00 UtilitiesSewer Septic Building Height:
OWNER/L'ESS'EE CONTRACTOR:
Name Jay Cerrone Name: Darrick Bailey
Address:806 Howard 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 N0.631-1619 Zip Code: 34986 Fax: 408-0272
E-Mail:mommyof3amp@gmail.com 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 COrNSTRUCTION'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 thepermit 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 recorded and posted on the jobsite
before the first in ction. If you intend to obtain financing, consult with lender or an attorney before
commencing wo,y r recording our Notice of Commencement.
/V
s
_Signatur of O nessee/ Signatur C r/Licens o er
STATE F F ORI A STAT OF LOR A
COUNTY F ST. C1B COU TY OF Sr ucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this i13 day of J LiuL . 20 1&by this 18 day of J°"8 .20 16 by
Damck Bailey 1 Darrick Bailey
(Name of person acknowledging) (Name of person acknowle
J
(Signature of Notary Pu Ic-StatAf Florida) (Signature of Not ublic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Prt.o
d
Commission No. FF039152 a� Commission No. FFo3s, CRI���gy� BISHOP
B � Fff§�TAL BISHOP .N:
........
MYCOMMISSIO
i MY COMMISSION#FF039152 N#FF039152
*' pF °"'' EXPIRES J
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EXPIRES July 24, 98-0153 FloridallotaryServlce.com
Revised 07/15/2014 (407)398-0153 FloridallotaryService.com
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