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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ` a.� 11 Permit Number: ti 61A —0'A S� RECEI`.'rD APR 212017 Building Permit Application 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. YES PERMIT APPLICATION FOR: Fence PROPOSED IMPROVEMENT LOCATION: Address: 17200 Pineapple Lane Legal Description: Lot 1,Raptor Grove,According to the plat thereof,recorded in plat book 41,page 13,public records of st.Lucie County,FL Property Tax ID#: 2214-500-0001-000/5 Lot No.1 Site Plan Name: NIA Block No. N� Project Name: NA Setbacks Front 2 '=feet Back: 2 >=feet Right Side: 2 >=feet Left Side: 2 '=feet DETAILED DESCRIPTION OF 11VORK This project consists of a perimeter fence for west side f property. This would include a cattle gate on the South East corner and a decorative gate on the South West corner. The fence will be made of pressure treated wood, 3 rails with posts 8 ft apart, with field fencing along the south side of the property. The remaining of the fence will be wood posts with field fencing. CONSTRUCTIG INFORMATION: Additional work toe e orme under this permit—check a a appy: HVAC 11 Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric 0 Plumbing [:]Sprinklers E]Generator Roof Roof pitch Total Sq. Ft of Construction: NIA S . Ft.of First Floor: N/A Cost of Construction:$ 5000 Utilities: Sewer Septic Building Height: N/A OWNfER/LESSEE- CONTRACTOR': . Name Dana Joe Falconer Name: N/A Address:17200 Pineapple Lane Company: N/A City: FortPierce State:FL Address: N/A Zip Code: 34945 Fax: City: N/A State:N/A Phone No.720-626-5576 Zip Code: NIA Fax: N/A E-Mail:j@falconerfamily.org Phone No. NIA Fill in fee simple Title Holder on next page(if different E-Mail: N/A from the Owner listed above) State or County License: N/A if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:, � / pp , MORTGAGE COMPANY: Not Applicable DESIGNER ENGINEER: N/A Not A licable N/A Name: N/A Name: N/A Address:N/A Address: NIA City: N/A State: N/A City: NIA State: N/A Zip: N/A Phone: N/A Zip: N/A Phone: N/A FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: NIA Not Applicable Name: N/A Name: N/A Address: NIA Address: N/A City: N/A City:N/A Zip: N/A Phone: Zip: N/A Phone: N/A 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 1-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 roams 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 inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of'Commencement. 6W'-" s Signature of O er/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDPp % ^ STATE OF FLORIDA COUNTY-OF 01 OA v l COUNTY-Of- The forgoing instrunlentw s acknowledged before me The forgoing instrument was acknowledged before me this 1'2�day of e- P 20 ((_(by this day-of 20 by y i�T VC.-iky�©���c.i// (Name of person acknowledging) (Name of person acknowledging) (Sig a of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known O&Red If JgtWNOINEN Personally Known OR Produced Identification Type of Identifica ion ProducOTARY PUBLIC Type of identification Produced ��� TATE OF FLORIDA Commission o. #FF131849 Commission No. (Seal) 1 ® Expires 6/18/2018 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE- COMPLETE INITIALS