HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r w
Date: October 19,2016 Permit Number: 10_ 0 10
V
RECF ir if ED
Building Permit Application OCT 19 2016,
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 Si. Lucie County, i L
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence
.PROPOSED IMPROVEMENT.;LOCATIDN:
Address: 2530 Rainbow Drive, Fort Pierce, FL 34981
Legal Description: To long to list, see attached.
Property Tax ID#: 3405-414-0001-000-0 Lot No.
Site Plan Name: Wilcox Fence Install Block No.
Project Name: Install Chain Link and PVC Fence
Setbacks Front30+' Back: 8+1 Right Side: 2-4" Left Side: 2-4"
DETAILED DESCRIPTION"OF WORK.
Remove 150 LF of existing fence and install 168 LF of 6 foot tall PVC Privacy, install 94 LF of 4 foot
tall chain link.fence with lea 5 foot walk gate & 1e 10 foot double drive gate and install 79 LF of 6
foot tall chain link fence.
CONSTRUI I'llCTIO, N.INFORMATION
- _'_ " , :,.,. "'� 'J
Itional work toe e orme under this perms —check a appy:
HVAC 13 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric ElPlumbing ❑Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 6,990.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Bill Wilcox Name: Darrick Bailey
Address:2530 Rainbow Drive Company: A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise Drive
Zip Code: 34981 Fax: City: Port ST Lucuie State:FL
Phone No.528-0503 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.
SUP<PLEMfNTAL CONSTRUCTIONLIEN°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 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 to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult ith nder or an attorney before
commencing wor r recordin r Notice of Commencement.
/////// ////
s
Signature of Jr/"s e/Contras r a Agent for Owner Signature C tractor Licen of er
STATE OF FLORID STATE F FLORID
COUNTY OF STLcieCounty COUNTY OF sTLuciecounty
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 19 day of OC-766L-A.— 20 1 toby this 19 day of 0dober 20 1 L by
Derrick Bailey 1 Danick Bailey
(Name of person acknowledging) (Name of person acknowled ' g)
aA/
(Signature of N ryublic-State of Florida} (Signature of N a Public-State of Florida}
Personally Kno x OR Produced Identification Personally Kno OR Produced Identification
Type of Identification Produced Type of Identification Produced
•.•°4par ora•",.
FF039152 =o, <�: ea
Commission No. _ (g �RYSTAL BISHO Co mission No. FFo391sz :�P.... CNAL BI
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MY COMMISSION#FF03 152 =�
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'•9,e oP' EXPIRES Jul 24 20
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