HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: June 18, 2016 Permit Number:
RECEI'.'-t7 JUN 2 0 2916
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 f
PROPOSED IMf?ROUEMENT LOCATION
Address: 1007 Flood Road, Fort Pierce, FL 34982
Legal Description: WHITE CITY FROM NW COR OUTLOTS 6 RUN E ALG U 560 FT,TH S TOW LI SD OUTLOTS 415 FT,TH W N TOS LI OUTLOT 6
90 FT TO POB,TH CONTW 11 TO S U SD OUTLOT 6,90 FT,TH N H TO W LI OUTLOT 6 TO S RNV FLOOD RD,TH SELY ALG RNV TO PT 470 FT E OF W U
Property Tax ID#: 3404-501-0523-000-9 Lot No.6
Site Plan Name: Redcliff Fence Install Block No.
Project Name: Wood Fence Install
Setbacks Front25+' Back: 2-4" Right Side: 2-4" Left Side: 2-4"
DETAILED DESCRIPTION OF,WORK
Install 195 LF of 6 foot tall wood fence with 1-5 foot walk gate & 1-10 foot double drive gate.
Remove 259 feet of existing wood fence.
CONSTRUCTION INFORMATION; ;
Additional work to be nerformed under this permit—check all tha app y:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers [Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3,690.00 Utilities: Sewer F]Septic Building Height:
OWNER/LESS,fE CONTRACTOR:. . „
NameAnn Redcliff Name: Darrick Bailey
Address:1007-Flood Road 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. Zip 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 INFORM
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 pection. If you intend to obtain financing, consult with lender or an attorney before
commencingw or recordipg your Notice of Commencement.
s
_SignattF
oTODA
Lesse get Sign r f tract r/ rise Holder
STATEFSTATE OF LORIDA
COUNTY OF ST Lucie COUNTY•OF ST Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me T
this 18 day of �.I Ua L - 20 IG by this 1e day of June 20 /6 by
Darrick Bailey 1 Darrick Bailey
(Name of person acknowle ging) (Name of person acknowle ging)
zz
(Signature of Nota blic-State of Florida) (Signature of No5K Public-State of Florida)
Personally Knownr I Ica Ion _ Personally Known x OR Produced Identification
Type of Identifica iarbs ed CRYSTAL BISHOP. Type of Identificati n Pry use
e,
MY COMMISSION#FF039152 ?:�' 7 ;a CRYSTAL BISHOP
Commission No. .......-'P; XPIRES(SeWi�4,2017 Commission No. PF 2........
• MY COMMIS(5@06Fo39152
(407)398-0153 Floriclallota Service.com -.FOFFioP•' EXPIRES July 24,2017
(407)398.0153
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Revised 07/15/2014
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