HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 22, 2016 Permit Number:
RECER'7D JUN 2 3 2016
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,IM,PROVEM.ENT LOCATION:
Address: 5708 Papaya Drive, Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT-09-BLK 79 LOT 7 (MAP 34/12N)(OR 3799-178)
Property Tax ID#: 3402-610-0272-000-3 Lot No. 7
Site Plan Name: Johnson Fence Install Block No. 79
Project Name: Install Chain Link Fence
Setbacks Front25+' Back: 2-4" Right Side: 2-4" Left Side: 2-411
DETAILED DESCRIPTIO _QF WORK
Install 133 LF of 4 foot tall chain link fence. - o%\
r
CONSTRUCTION.INFORMATION
itional work toe nerformed un er t is permit—check all tha appy:
HVAC 0 Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers El Generator ® Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,480.00 Ft of
ElSeptic Building Height:
OW,N ERAESSEE CONTRACTOR:
Name Karen Johnson Name: Darrick Bailey
Address:5708 Papaya Drive 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.209-2128 Zip Code: 34986 Fax: 408-0272
E-Mail:karenjohnson499@gmaii.com Phone No. 812-0223
Fill in fee simple Title Holder on next page(if different E-Mail: info@agreaffence.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 CONSTRUCTIONLIEN LAW INFORMATION'
DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: Stater 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' pection. If you intend to obtain financing,consult with lender or an attorney before
commenci k or recor in our Notice of Commencement.
'111-7
S
_SigtEE
re f er/Less / ent Signatur of o tract or/�rfs older
STAF FL RIDA STAT OF LORID
COUNTY O ST Lucie COUNTY F srLuae
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 22 day of JUAL0 20 B Gby this '2 day of °"e 20 I L by
Darrick Bailey 1 Darrick Bailey
(Name of person acknowledging) (Name of person acknowled gL
(Signature of No a Publi - tate of Florida) (Signature of Notarylic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
a'SPpY PUB'•.. „`tPRY �
Commission No. FF039152 ;°_° "':��_, (W13TAL BISHOP Commission NO. FF039152 ;°_° a�� C hL BISHOP
MY COMMISSION#FF039152 jQ MY COMM ON#FF039152
ISSI
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