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FENCE - RESIDENTIAL
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 Date: �dl at Permit Number: -r RECEIVED _ Building Permit Applicat'on OCT a 2 2o�s Planning and Development Services Building and Code Regulation Division ST. Lucie Cou6ty, porMittil19 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPC3SED IN+' RQVEME T LUl!GATI N: Address: �(� /1/ G-c� S Olo S P[''rlie 7 2n �eo 2QC� P1, `/ 95 7 i c Legal Description: Property Tax ID#: l ioQ O ` Q 0 Z Lot No. Site Plan Name: Block No. - Project Name: Setbacks . Front Back: Right Side: Left Side: DE 1LED D ��MRIPTION +DF WaR+K: -Pen ce 64 were- o14 �P1, w� s re>atOC45d hd l �CWNS�TRUC�TIKNLI�NFCIRMATION: Additionalwor to be pertormed under this permit—check all that appy: _Mechanical _Gas Tank _Gas Piping —Shutters _.Windows/Doors Electric _Plumbing _Sprinklers, _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: - Cost of Construction:$ l r Q Q Utilities: —Sewer _Septic Building Height: O N ER/LFIN NTRACTQR: Name en G PLq 6 eF! S rQ Name: Address: 4.- LAI; lohr,'v- Company: City:Ten Sett b C,ti , State: E(,- Address: Zip Code:-5 Y 9 .5 ! Fax: City: State: Phone No. C4 9 — !9 7 3 — S S 6 '1—/ Zip Code: Fax: E-Mail: F!b;e_t)5 Tr Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. S P I.EMEN CfJNSTRC�CTI©N IEN LAW IN�FORMAT1aN: DESIGNER/ENGINEER: _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: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. 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 thepermit 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 -R or re,poTding your Notice of Corm cement. S4AtLW of Owner/.Less Contractor.as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF.FLORIDA COUNTY OF S'r, Uo t. COUNTY OF The forgoing instrument was acknowledge9efore me The forgoing instrument was acknowledged before me this d\., day of 20 TA by this day of 20_ by t -V-�k� ;Cklbsa-"'.tcaw\ (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Pu c-State of Florida) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced AMARIEGIt/ENS Produced MY COMIAISSION#GG 022023 Commission No. _. EXPIREgSt.STrbe11B'2°1 Commission No. (Seal) >r o� BondedihrUNotari u-gcUnderwdlers REVIEWS FRONT_ ZONING -SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 7/2014