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SLC Permit info - Robert Kugler
ALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: December 17, 2018 Permit Number: .....:..:_. Building Permit Applicati©n 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: 8617 Cobblestone Drive, Fork Fierce: FL 34945 Legal Description: CREEKSIDE PLAT NO 1 (PB 55-12) LOT 28 (OR 3921.2362) Property Tax ID #: 2326-600-0033-000-9 Lot No. 28 Site Plan Dame: Kugler Fence Install Block No. Project Name: Install Alum Fence Setbacks Front 25+' Back: 2-4" Right Side: 2-4" Left Side: 24" DETAILED DESCRIPTION OF WORK: NOT POOL BARRIER, install 277' L.F. of 4' tail 2 -rail alum fence with lea T walk gate and Zea S walk gates. CONSTRUCTION INFORMATION: Additional work to be r Orme un er QHVAC L�I Gas Tank []Electric Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 6780.00 OWNER/LESSEE: Name Robert Kugler Lr 113 FJV1 IML — Ll IC(.K c.311apply: ❑Gas Piping M Shutters Q _ Windows/Doors 05prinklers Ei Generator 0 Roof Roof pitch SFt. of First Floor: _ UtilitiestSewer ®Septic Address: 8617 Cobblestone Drive City: Fort Pierce FL Stater Zip Code: 34945 Fax: Phone No. 561-202-4375 E -Mail: harleyhea rt71 @yahoo.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Darrick Bailey Building Height: Company: A Great Fence Address: 751 NW Enterprise Drive City: Part ST Lucie State: FL Zip Code: 34986 Fax: 408-0272 Phone No. 812-0223 E -Mail: info@agreatfence.com 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 Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: fMANA1cR I #-e%MTn A •''� T •,.,." w,r,rr.Lni L>Wry I KmL i UK Hrriuvi i :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 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 commencing work or recording our Notice of Commencement. A r as Agent for Owner STATB'OF FLORA COUNTY OF STS - The forgoing instrument was acknowledged before me this 17 day of December 20 18 by Darrick Bailey Name of person making statement Personally known x OR Produced Identification Type of Identification Produced {Signature of Notary P li State of Florida j Commission W. GG 7s1s Seal CRYSTAL_ Y BISHOP "= MY comMISSION # GG127618 REVIEWS FRO •''� T •,.,." EXPIRES July COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 812/17 Signature of STATE OFILORIDA COUNTY OF ,T --- The forgoing instrument was acknowledged before me this 17 day of December 2018 by Darrick Bailey Name of person making statement Personally Known x OR Produced identification Type of Identification Produced (Signature of Notary Public - Commission No. GG127618 PLANS VEG REVIEW RF a) i (Seal) CRYSTAL. 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