HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ r n
Date November 21 ,2016 Permit Number:
RECEIVED
Building Permit Application NOV 2'3 2016
Planning and Development Services PERMITTING
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
PROP SED IMPROVEMENT LOCATIQN =
Address: 124 SE Serenata Court, Port ST Lucie, FL 34983
Legal Description: RIVER PARK-UNIT 5 BLK 47 LOT 13 (MAP 34/28N)(OR 3589-1529)
Property Tax ID#: 3419-540-0150-000-0 Lot No. 13
Site Plan Name: Edwards Fence Install Block No. 47
Project Name: PVC Fence Install
Setbacks Front25+' Back: 2-4" Right Side: 2-4„ Left Side: 24"
DETAILED DESCRIPTIOWOF 1NORK
Remove existing fence and install 262 LF of 6 foot tall PVC Privacy fence with 3ea 4 foot walk gates.
CONSTRUCTI,N INFORMATION
Additional work to be nertormed under this perms —check all appy:
HVAC Gas Tank- ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator F�Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 8,567.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE = CONTRACTOR =_ _
NameGuy Edwards Name: Darrick Bailey
Address:1094 Freeport Road Company: A Great Fence
City: Kitanning State:PA Address: 515 NW Enterprise Drive
Zip Code: 16201 Fax: City: Port ST Lucie State:FL
Phone No.724-859-6938 Zip Code: 34986 Fax: 408-0272
E-Mail:gedwards1094@gmail.com 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.
SUzPPLENIENTAL CONSTRUCTION LIEN LAW INFORMATION:
.- K.
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 a recorded and posted on the jobsite
before the first i ection. If you intend to obtain financing, consu with der or an at orney before
commencing wdyk or recording our Notice of Commencement.
s
Signatur 70re / see/ o r ctor as Agent for Owner Signatu of on cto / ' ense deSTAT OFR A STAT F on
RIDA
COU TY OF ST Lucie COU OF STLucie
The forgoing instr��ent was acknowledged before me The forgoing instrument was acknowledged before me
thisIll. day of AI DV I2-Wy3i_1-. 20 t Lby this Z' day of N-emeer ,20 1 L by
Darrick Bailey _L Derrick Bailey
(Nameof p on acknowledging) (Name of so acknowledgi
(Signat re of o"x ,
te of o ' a) (Signature of N r bli St of Florida)
Personally KnowProduced Iden fication Personally Known x OR Produced Identifi at
Type of Identification Produced Type of Identificati n P duced
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS