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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 28, 2017 Permit Number:
•
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 x
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION;
Address: 3115 Sunrise Blvd, Fort Pierce, FL 34982
Legal Description: MARAVILLA HTS BLK A LOTS 24 AND 26 (0.49 AC) (OR 2492-2327; 2980,3623-1089)
Property Tax. ID #: 2428-601-0022-000-5 Lot No.
Site Plan Name: Clark Fence Install Block No.
Project Name: Install Wood Fence
Setbacks Front 25+' Back: 25+' Right Side: 2-4" Left Side: 2-4"
Q❑
24 & 26
A
DETAILED DESCRIPTION OF W01RK:
Install one hundred twenty LF of six foot tall board on board wood fence with one eight foot doubie
drive gate and one ten foot double drive gate.
CONSTRUCTION INFORMATION;
Additional work to be pertormed under thiserm
pit-- check all apply:
OHVAC Gas Tank E]Gas Pi Shutters O Windows/Doors
Piping
11 Electric ❑ Plumbing OSprinklers L=J Generator E]Roof Roof pitch
Total Sq. Ft of Construction: S. of First Floor:
Cost of Construction: $ 2,410.00 Utilities cn Sewer O Septic Building Height:
OW NERf LESSEE: CONTRACTOR:
NameTara Clark Name: Darrick Bailey
Address: 3115 Sunrise Bivd Company: A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise Drive
Zip Code: 34982 Fax: City: Port ST Lucie State -.FL
Phone No. 772-216-7704 Zip Code: 34986 Fax: 408-0272
E-Mail:lilyangel88@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: 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 inspection, If you intend to obtain financing, consult with lender or an attorney before
commencin work or recording your Notice of Commencement.
�� s
Signat re er/Le a ntractor as Agent for Owner Signatur, o actor/Lice14Hr
STT OF ORIDA STA F F ORIDA
COUNTY F a CO NTY F
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this 2dE day of 30iL1 L 20 0 by this 28 day of apnl 20 11 by
Darrick Bailey 1 Darrick Bailey
(Name of person acknowledging) (Nameof acknowledging )
1
(Signature of Not; lic- Sta% o�Florida) (Signature of Notary li tate of F16rida )
Personal) Kno `rvbrr X OR Produced Identification Personally Kno X OR Produced Identification
Y
Type of Identification P pri Type of Ident. atio 1 Produced
'OS PAY PUBG C S AL BISHOP 't°"YPUe-:
F0391 2-=; - eaTj Commission No. FF -a,9 2.�, Ci�YS 11S
Commission No. _ My I A13SION a#FF039152 — N. HQP
vGg;` MY COMMiSSlON #FF
" 039152
EXPIRES July 2�i, 2017
FhPJ
,;
ola.. Y^.11C`J uly 24, 2017
(407) 398-0153 FloridaNm otaryService.co(407} 39,81-0153
FloridallotarySe vice.com
Revised 07/15/2014
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