HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August 4, 2016 Permit Number:
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: 606 Midway Road, Fort Pierce, FL 34982
Legal Description: To long to add
Property Tax I #: 3403-311-0005-040-8
Site Plan Name: Moey Gate Install
Project Name: Install Wood Gate
Setbacks Front25' Back: 25' Right Side: 25'
Left Side: 25'
DETAILED DESCRIPTION O:F WORK.
Remove existing gate and install new 12 foot wide double swing wood gate.
Lot No.
Block No.
Additional work to be pertormed under this permit — check all apply: 11
HVAC Gas Tank F]Gas Piping _ Shutters Windows/Doors
LJ Electric LJ Plumbing 0 Sprinklers ElGenerator E]Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: S 790.00 Utilities: n
Sewer L �J Septic Building Height:
OWNER/LESSEE:
CONTRACTOR! ;
Name,loann Smith
Name: Darrick Bailey
Company: A Great f=ence
Address: 505 Midway Road
City: Fort Pierce State:FL
Address: 515 NW Enterprise Drive
Zip Code: 04982 Fax:
City: Port ST Lucie State: FL
Phone No.519-6991
Zip Code: 34986 Fax: 772-408-0272
Phone No. 772-812-0223
E -Mail:
E-Mail:info@agreatfence.com
Fill infee simple Title Bolder on next page (if different
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 INFORMATION:
FRONT
DESIGNER/ENGINEER: WA 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: N/A Not Applicable
_
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 ty your property. A Notice of Commencement must be recorded and posted on the jobsite
before the firsV) ispectioni If you intend to obtain financing, consult with len�er or an attorney before
commencine.w�1)irk or rec rding vour Notice of Commencement. If
_ Signatyte ot/Cyyhfr/ Lespf/Agent
STATIC''OF,, L'OC`IDA
CO TY F Lucie
The for oing instrujent .Twas acknowledged before me
this dayof f''fUGi)20 rLaby
Darrick Bailey _k
(Name of person acknowledgi
Cl JW
(Signature of Not b ic- State of Florida )
Personally Known x
Type of Identification Produ ed.- dap<.. c
My COMWSSION a#FF03g1
Commission No FF09152 9,� �°
(59RES July 24, 2017
{407) 39a-0153 RoridaNetaryService.com
Revised 07/15/2014
STME OLORIDI
COUNTY OF STLucie
The forgoing instrument was acknowledged before me
this 41h day of August , 20 ; L- by
DaMck Bailey
(Name of person acknowledging )
(Signature of Notary P c- a of Florida )
Personally Known x oduced Identification
TT ae of Identification Pr d
unYS
P . T ALS f n l -i OP
to
mission No. FF03915. q ''"' Y co"*801c". _ ---x039
EXPIRES J. 152
(407) '398- ; :_-;, 2017
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS