HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: December 27,2016 Permit Number:
RECEIVED
Building Permit Application DEC2. 82016
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 s
PROPOSED'I'MPROVEMENT LOCATION:
Address: 8205 Penny Lane, Fort Pierce,FL 34951
Legal Description: ADAMS RECORD PLAT(PB 61-1)LOT 2(OR 3938-1168)
Property Tax ID#: 1302-600-0003-000-3 Lot No. 2
Site Plan Name: Dale Fence Install Block No.
Project Name: Wood Fence Install
Setbacks Front25+' Back: 5+' Right Side: 2-4" Left Side: 2-4"
DETAILED DESCRIPTION OF WORK
Install 322 LF of 6 foot tall board on board wood fence with lea 10 foot double drive gate.
CONSTRUCTION,INFORMATION
Additional work toe e orme under this permit—check a appy:
aHVAC Ei Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing U Sprinklers E Generator F Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 5,130.00 Utilities: Sewer a Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Dawn Dale Name: Danick Bailey
Address:8205 Penny Lane Company: A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise drive
Zip Code: 34951 Fax: City: Port ST Lucie State:FL
Phone No.774-9712 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN 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 i spection. If you intend to obtain financing,consult with lender or an attorney before
commencingrk or recording ou Notice of Commencement.
s
Signatur f ssee/Cont cto as Agent for Owner Signat7' 01
n actor/Li n H der
STAT OF LO DA STAT FIDA
COUNTY OF COUNTY OF ---
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 21 day of 0L-_CL-_hA461- . 20�Lby this 27"' day of December 20 /L by
Darrick Bailey 1 Darrick ba0ey
(NalCrson acknowledging) (Name of erson acknowledging)
(Signature of Nota I' Stat of Flo (Signature of otary ublic-State of Florida)
Personally Kno x O ed Identification Personally Known OR Produced Identification
Type of Identifi ion Produc d "J';. yp of Identification Pro ce
raL. .
CRYSTAt-BIS Fi0P CRYSTAL BISHOP
Commission NO. FFo39152 _y `_(S& OMMISSION#FFO 9 mission No. FF039152 i � MY
\, a "ISSION#FF039152
'' $ Fk EXPIRES July 24,201 Rj of �n�b EXPIRES July 24,2017
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Revised 07/15/2014
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