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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 5, 2017 Permit Number:
ENNEW= Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION: l
Address: 3100 NW Radcliffe Way, Palm City, FL 34990
Legal Description: RIVERBEND (PB 67-36YLOT 19 (OR 3876-151)
Property Tax ID #:
4425-703-0024-000-9 Lot No. 19
_
Site Plan Name: James Fence Install Block No.
Project Name: Install Alum Fence
Setbacks Front 25+' Back: 50+1 Right Side: 2 - 4" Left Side: 10+'
DETAILED DESCRIPTION OF WORK: 1
Install 250 feet (LF) of 4 foot tall alum fence with Sea 3 foot walk gates & lea 5 foot walk gate. Fence
will not be installed in the easements.
L CONSTRUCTION INFORMATION: -
Additional work to be rformed under this permit —check ail j apply:
nnl HVAC 11 Gas Tank Gas Piping L_J Shutters
L
Electric 0 Plumbing Sprinklers Generator
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 6,815.00 Utilities. Sewer Septic
E]Windows/Doors
0 Roof Roof pitch
Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Carol James Name. Damck Bailey
Address:3100 NW Radcliffe Way Company: A Great Fence
FL 515 NW Enterprise Drive
City: Palm City 5#ate: _ Address:
Zip Code: 34990 Fax: City: Port ST Lucie State: FL
Phone No.
772-678-6561 Zip Code: 34986 Fax: 408-0272
E-Mail:cwatsonjames@aol.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: n1a 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: n1a 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 t our property. A Notice of Commencement must be recor d and posted on the jobsite
before thling,'Wqlrk,p#
firs I spection. If you iptend to obtain financing, consult with I er or an attorney before
commen recording /bur Notice of Commencement. i ,
S
ignare of n es e/Cont dor Ager for Owner Si nature Co ac Lic se Hol
� g g
E OF FLORID STAT OF ORIDA
OF 5r ad COU TY OF sr ,4
The forgoing instrignent was acknowledged before me
this 5_ day of 1zWZ1L . 20 0 by
Garrick Bailey
(Name of rson acknowledging) j
(Signatu of INcyt r ublic- State of Florida )
Personally Knowx Produced Identification
Type of Identifica 'on Produ ed
Commission NO. FF039152
Revised 07/15/2014
!4071398.0153
The forgoing instrument was acknowledged before me
this 5" day of A°"I , 20 il 7 by
Garrick Bailey
(Name of person owledging )
A
(Signature of Notary Publi - t e of 6ida )
Personally Known x O Produced Identification
Type of Identification Produced
CQ nmisslon No. FF039152
CRYSTAL BISHOP
MY L�UmlvnaalUly lyrrusy �z
EXPIRES July 24, 2017
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EXAIRES F039152
July
1 071 399-01 53
24, 2017
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