HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE.COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 19,2016 Permit Number:
WL
Building Permit Application OCT 19
Planning and Development Services PERM11TTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR:
Fence r-
, PROPOSED'IM,PROVEME'NT LOCATION:°' y
Address: 5209 S Indian River Drive, Fort Pierce, FL 34982
Legal Description: d O FRIES S/D THAT PART OF LOT 4LYG E OF FEC RR R/W-LESS N 116.94 FT AND LESS RD RNV-(OR 3500-848)
Property Tax ID#: 3401-600-0006-000-4 Lot No. 4
Site Plan Name: Markwardt Fence Install Block No.
Project Name: Install d Fence )7 V C VP
Setbacks Front50+' Back: 20+' Right Side: 2-411 Left Side: 2-4"
DETAILED DESCRIPTION OF WORK
Remove44 feet eet of
existing fence F. of fe e and install 344 L. '
F 6 foot PVC/VinYI privacy I, ,
fence.
CO'NSTRUGTIQN"=INFORMATION
Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping Shutters ❑.Windows/Doors
Electric 0 Plumbing Sprinklers E Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 8,890.00 Utilities:n Sewer Septic Building Height:
OWNER/LESSEE CONTRACTOR.
NameMarcia Markwardt Name: Darrick Bailey
Address:5209 S Indian River Drive Company: A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise Drive
Zip Code: 34982 Fax: City: Port ST Lucuie State:FL
Phone No.561-400-2855 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@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 CONSTRUCTION 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 thepermitholder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an 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 i pection. If you intend to obtain financing, consult with lender or an attorney before
commenci k or recording our Notice of Commencement.
s
Signatur f / essee/Con ct as Agent for Owner SignaturrF
o or icense Hold
STA O FL IDA STATEORIDCO NTYOF STLuclecounty COUNST Lu a County
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 12' day of OC-7b&L-1,_ 20 &-by this 19 day of October .20 1L, by
Derrick Bailey 1 Derrick Bailey"
(Name of person acknowledging) (Name of person acknowledging
(Signature of No ublic-State of Florida) (Signature of Notary blic-State of Florida)
Personally KnownTx •, Personally Know
Type of Identification Pr cJieml u°` `: CRYSTAL BISHOP Type of Identific on Pro
efff
�`:'''.
Qr MY COMMISSION#FF039152 r . R My CO
FF039152 °+ t`Q'' y Commission No. FF039152 `;''.` ,,���rr (MISSION#FF039152
Commission No. F0 �o S Jul 24,2017 '' ES July
y 24,2017
10i1398•h153 FloridallotaryService.com FloridallotaryService.com
Revised 07/15/2014
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DATE
COMPLETE
INITIALS