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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Mr.[LUCCE
Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 109 Sandalwood Dr 1
Property Tax ID#: �$ 2��� 3 )� ����`��Q�3 Lot No. 5
Site Plan Name: Sandalwood Estates Block No. A
Project Name. Lankford Farm Fence
DETAILED.-,DESCRIPTION OF WORK:
5'high farm fence,top rail @ 5,, mid raill @ 44', bottom rail on rg ound, chain link stapled to middle and bottom rail
243 linear feet and Two 4'gates Proposed fence will extend 15 'off of house to not encroach the drainage easeme
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New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical Gas Tank _Gas Piping Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
�n
Cost of Construction:$ 2 L10 6 / Utilities: _Sewer _Septic Building Height:
.'OWN ER/LESSEE: CONTRACTOR:
Name Lindsay Lankford Name: William Hamant
Address: 109 Sandalwood Dr. Company:_Liama HomP,Servirp-, I LC
City: Fort Pierce State: FL Address: 171_Ridgemon Cir.SE
Zip Code: 34g47 Fax: City:_ Palm Bay State: FL
Phone No. 772-528-3926 Zip Code: 32909 Fax:
E-Mail:JjndseyFireyrfd(@1clo d.com Phone No 321-626-8333
Fill in fee simple Title Holder on next page(if different E-Mail Hamantservices@gmail.com
from the Owner listed above) State or County License CRC1331955
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: N/A Name: N/A
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
Name: N/A Name: N/A
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 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,l 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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.
Signature of Owner/Lesse as Agent for Owner Signature of Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF IQ V_rya re Of COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
✓Physical Presence or Online Notarization _&-Physical Presence or Online Notarization
thisA0 -day of Zftly 2020 by this za_day of 7y 44 2020 by
Name of person making statement. Name of person making statement.
Personally Known P"_ �OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Qg_.
(SigR6ture of Notary Public-State of Wtida) (Signature of Notary Public-State of Flo yl��
�e� JAIME E.SMITH �oq�o�P4+ JAIME E.SMI
Commission N0.QC121 _ 9IgLI commisslon#GG2T3 4 C—+Cn�.�39 S * �� Commloslon#GG 5
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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