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Building Permit
ALL APPLICABLE INFO MAST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: l kd a— D 30 3 .Y' MOM' RECEIVED ...)2G.FL.n413�,tua"�1SnCaf Building Permit Application Planning and Development Services FEB1 3 2018 . Building and Code Regulation Divisionermitting Departnt p 2300 Virginia Avenue,Fort Pierce FL 34982 / St.Lucie count Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential ✓✓ PERMIT APPLICATION FOR: Fence PROPOSED IMPROVEMENT LOCATION: ° D 6 �q rW oq Address: /' P� -�' L .Y- Legal Description: I-AW-a-W ail Park ^ CC/1// f/g - d 1 K J6 Property Tax ID#: / 30 / — 6 / 41- 0/ 7yr c7 d '" Lot No. 4_1 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: j�; �, Wo©d 64 c � Oe7 Th -e- ��F� f,�o,,,, �X;s't��h� /-enc-c- al©k?.9 I'he- Pr��•�rt'y �dre �, aldh� rti � �3atK /�rviper �� �ln� �pprD�l, f�dlt' w��y . i,✓i TL, � v✓o. !K q Tc , v+"� j ©�uc�.e�.3 '�l7 e lfav5 "" h e o 'Tv-"�► 1`o wc�rof /�iyti�/'.-��•arry /+'% � LO✓iTl.�v:�+9 c'�/os�c� te/C � :•� � 7'�rnin; cNcl9V Sie1� ro r.^'t- ):� .� /f !�= wct IJniv;� h�ovSe •iurh fowave� w �o�lo/c CONSTRUCTION INFORMATION: -:?3 7 CLf LdB a 4- Fe.N e,< Additional work to be nertormed under this permit-check a appy: HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors aElectric 0 Plumbing O Sprinklers Generator Roof Total Sq.Ft of Construction: SQ. Ft.of First Floor: 0 Cost of Construction:$ U0 0 0 0� Utilities: _Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name 51,TQ& jA2-e-10, Name: Scott Peters Address: / d 0 filf tA lc 5 Company:All Indian River Fence City: ' �/ e-Y-C- --c-- State:f- Address: 790 SW Airoso Blvd. Zip Code: Fax: City: Port Saint Lucie State:FL Phone No. 77a - y r,' y 7 0 ozq Zip Code: 34983 Fax: 772 878-8283 E-Mail: Phone No. 772 340-1045 Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: #26030 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable I 1 Name: Name: 1 Address: Address: j City: State: City: State: i Zip: Phone: Zip: Phone: { FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: { City: City: i Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is in onfiict with any applicable Home Owners Association rules,bylaws or an9covenants that may restrict or prohibit such structure.Pease 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,l do hereby agree that I will,In all respects,perform the work in accordancewith 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,swtmming 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 commencirly.worts or recording our Notice of Commencement. t Signature of Owner/Agent/Lessee Slinafure of Contractor/License Holder I STATE OF FLORIDA STATE OF FLORIDA rr COUNTY OF � ,+;,E(iJP COUNTY OF 1 The forgoing instrument was acknowledged before me I The fo oing Inst ument was acknowledged before me this s_Z day of a o . 21t I by ! thisS day of 20A by 111' 1 i ,g 4 (Name of person acknowledging) t (Name of person acknowledging (Stgnat e o ublic-State of Florida I f (signature f oto lc-State of Florida J Persona Known use FPi' I �pn f Personal) Known �O Po0mced Iderd( t;¢ffttcH Personally 1 Typeofidentification �� _ i Type ofIden tificationPro += Nota Public—State of Florida •: ' ` Commission#GG 167258 ;•: . Commission I Commission No ', ,`My Coma( is Dec 11,2021 ++ ao`+My�Pires Dec 11,2021 S f Commission No. wndadthroughNauonalNotarykm ! Bo Nalional.NolaryAssn. II Revised 07/15/2014 i I REVIEWS FRONT I ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE I COUNTER REVIEW DATE REVIEW REVIEW REVIEW REVIEW REVIEW COMPLETE i INITIALS i