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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ` l5 �� Permit Number:
RECEIVED
Building Permit Applic ion AUG ® 5049
Planning and Development Services ST. Lucle CgUnrv, pep
Building and Code Regulation Division r111ttlrtg
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE:Building - Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5525 Spanish River Road,Fort Pierce, Florida 34951
Property Tax ID#: �31�`-SO a`"' G �1-d O d Lot No.206
Site Plan Name: Block No.
Project Name: Mayher
[DETAILED DESCRIPTION OF WORK:
Install 120ft of 6ft tall,vinyl fence. (2)5ft wide gates.
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_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:$ 4,215.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: =' CONTRACTOR:
Name Dustin Singhas Name:Tashara Lively
Address:5525 Spanish River Road Company:Professional Grade Fence
City: Fort Pierce State:_ Address:470 Martin Road SE
Zip Code: 34951 Fax:NIA City: Palm Bay State:FL
Phone No.479-312-0045 Zip Code: 32909 Fax: 321-312-4787
E-Mail:NIA Phone No 321-479-9884
Fill in fee simple Title Holder on next page(if different E-Mail professionalgradefence@yahoo.com
from the Owner listed above) State or County License 30485
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more;a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN;LAW:.CNFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: 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(kucie 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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDFR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Co ctor as Agent for Owner Signdture of contractor/0%serrse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF stLude COUNTY OF e—a
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
cli
m this 23 day of J* .20_ by this 23 day of Awy 20_ by
c Dustin Singhas Tashara Lively
C N
_�r Name of person making statement. Name of person making statement.
, -
i 0 n Personally Known OR Produced Identification x Personally Known X
of Identification OR Produced Identification
Z �' x Type of Identification Type
Produced Fl Drivers U—se Produced NA
ie
Notary Pub4 Itlic State of F101 d
(Signature o otary Public-State of Florida) (Signature of otary Public-St f�dai9V Commission GG 1617 7
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Expires 11/20/2021
Commission No. 161727 (Seal) Commission No. 161727
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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