HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: December 2, 2016 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 7103 Salerno Road, Fort Pierce, FL 34951
Commercial Residential X
Legal Description: LAKEWOOD PARK-UNIT10-BLK 124 LOT 8 (MAP 13/01 S) (OR 482-2797; 3312-1517)
Property Tax ID #: 1301-612-0148-000-5
Site Plan Name: Messina Fence Install
Project Name: PVC Fence Install
Setbacks Front25' Back: 2-4"
DETAILED DESCRIPTION OF WORK:
Right Side: 2-4" Left Side: 2�4"
Lot No.8
Block No. 124
Remove existing fence and install 266LF of 6 foot tail PVC with two five foot walk gates.
HVAC E] Gas Tank
11 Electric 1:1 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7,380.00
uncler this permit— check all that apply:
E]Gas Piping _ Shutters
Sprinklers l Generator
SFt. of First Floor: _
Utilities;Sewer Septic
I__l Windows/Doors
® Roof Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTonia Messina
Name: Darrick Bailey
Address: 7103 Salerno Road
Company: A Great Fence
Address: 515 NW Enterprise Drive
City: Fort Pierce State:FL
Zip Code: 34951 Fax:
City: Port ST Lucie State: FL
Phone No.466-8363
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
State or County License: 23954
from the Owner listed above)
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER%ENGINEER: x_ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: xNot Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 tQfyour property. A Notice of Commencement must re ded andstedon the jobsite
before the first spection. If you intend to obtain financing, consult ith oder or aKattorney before
commencilne w rk.or recordiFia your Notice of Commencement: i
Signatu of
STATE OF `FLORIDA
COUNTY OF STLucie
as Agent for Owner
The forgoing instrument was acknowledged before me
this Z day of 20 ! b by
Barrick Bailey 1
(Name of p on acknowledging )
(Signature of N ry Public -State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produ;
STATE OF FLORIDA
COUNTY OF STLucie
The forgoing instrument was acknowledged before me
this 2 day of December 20 1 L by
Qarrick Bailey
(Name o son acknowledging }
(Signature of Nota ie -State of Florida )
Personally Known OR Produced Identification
+vRe of Identification Produced
CRYSTAL BISH4
Commission No. FF039152 - $. `nMMISSPONFF73 1� mission No. FF039152
,
EXPIRES July 24, 201 r
(407) 398-0153 FIondallotarybernce
Revised 07/15/2014
(Seal)
MY COMMISSION #FF039152
EXPIRES July 24. 2017
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
MANGROVE
REVIEW
SEATURTLE
REVIEW
DATE
COMPLETE
INITIALS
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