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Building Permit Application
r ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� ) Date: �� 'f Permit Number: � - RECEI ,.. . Building Permit Application JAN 31 2017 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-15S3 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Fence P'IflPC�SED3)IVPRO /ENt1UT�LO'CAl-ICON s lAddress: 311;6 NW Radcliffe Way, Port St. Lucie, FL Legal Description: Property Tax ID#: 1 AA S- '[413- QOa%- 13Q0 -:N Lot No.23 .Site Plan Name: Block No. Project Name: LOT 23 Riverbend Setbacks Front Back: Right Side: Left Side: bl~zTAIIr D DE5CRiPTlflN CIF WC3R1C� � l E INSTALL ALUMINUM FENCE I � (-{+--yr 41 G L I=- ' C . ON TRUC1`Iz�N aM•- -6t u.,..'c... �H,_ 4 ....mot., Baas. ,:. ig .r ro A..- ,.a+r.__,f _...,..W_ a+,`":9 .N . Additional work to e nertormed unclerthis permit-check a apply: F1HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors 0 Electric ❑ Plumbing Sprinklers E Generator 1:1 Roof Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ F 62 Utilities:0 Sewer Septic Building Height: fl�1NNERf LESS f>� ... CQNTRATQR . Name Standard Pacific of Florida Name: Paul Taylor Address:825 Coral Ridge Drive Company: Climatrol Quality Aluminum Products, Inc. City: Coral Springs State:FL Address: 5530 NW 161 Street Zip Code: 33071 Fax: City: Miami Gardens State:FL Phone No.954-575-7500 Zip Code: 33054 Fax: E-Mail:construction@fountainbluepools.com Phone No. 561-969-2299 Fill in fee simple Title Holder on next page(if different E-Mail: construction2@fountainbluepools.com from the Owner listed above) State or County License: SCC131150789 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 5P LEIUIEI�1'AL CONSTRUCTION L1EN3ffLA1�1/PIN�O� MAT1aN�a � � � � � � �` � � �� 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: 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 recorcjiog your Notice of Commencement. s _Signature of Owner/Lessee ge Signature of Contractor/LicenseA der STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �f�'L-/I'p J//�'C_ /�' COUNTY OF vfie4 0 The forgoing instrument was a knowledged fore me The for ping instrument wwa�acknowledged before me this�day of c 20 11/by this �Xay of JIM' 20 17 by (Name of rson ackn wledgi g) (Name of perso ckno g wledgItA (Signature of Notary P It a o IO td�4 i+�,°iia- (Signature of Notary P to f rida) ebX�✓ ,a64'dariiT9r%c, eons�P .S V.��'U'� °� xx ES V. �� Personally Known OR Pr d ed jd IfiG8" °� Personally Known OR uc_1d5�4i�eaiiabn ," Type of Identificatio r uced r m JG`B��ber2�F�o® Type of Identificatio Produced e ;��pMMISS/py•,''99� *; �� 0 9• e � � �gmb�i 2�� m -j�0 Commission No. azo (S •® Commission No. a Sea m: 0 0 '' 20834 o.n #FF02p `�'; ®9�� RO�dedthN. � Q'a o9 '°s,,�/• °•...;.. O,�'+o r'A •';o/iyo 5 Pew Revised07/15/2014 srATEoFl� '''�i,G��i�sjpo.ryF�oA�°`a . a`+ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE '} COMPLETES !I I INITIALS i ALL�hPPLiC lSLC iiVFQ 14t;L7 T :ET;- >:��'AIP�LC,1011t. O 33E ACCEPT€F ' w > Date "REt-HAVES ' '' . . r . ng.-Pertc s Ap. a ���;c n FEB .2 6 2019 t✓'JAt�aUla�sW�c3:De�J�4ent:5�'ru�ia7es .. BurldrnQna : a Hlinr�rsra Pe rm.l tt i n g D e p a rt m . t . Z3L1D birglr tt Awenaic,�nrt Pierre Fi�49,SZ P IaY,�:fir. ?asp- x t zj4s2 c M oCl t to de :Lxuci-e cgubty, .F. kRMIT,APPIaCATIQN �o Fence PRt?Pt35C 1PROVEl1t� T;LUCAT4N Address. NU1fFtAi] il^ECVftt 5f PAEM'CITY rL.349.94 Legal Descript an„ RIV M D PT 23 property Tax iD n .492570300280007 Lot No 23 Site Plan Name: . 816cic Na Project Name: . S, ti�aoks F3rr�an1rA Back. Firghtcte i;efttde: : _c..,,s�cZ/� �Lc.�r���u•s'I �f h;y/z` ..3s'� c �' w, �.:� etc ' ,. p 18aT60. t<3f IIVFM14�t3t .. etc�t�a v+rar cta a rrne . u�t er C his permit c e s a aAp 1f` WVAG, GasTank. 6as:Prprng. Shutters : El"'.WindowtMo.grs Elp.eetrie. lj ❑Plu,mbing. Sprinitlers: a Generator' Roof' , `:Roof.pitch Toto SO Ft of Construction' S Ft.of I=irstl loon Cost'of Ctmstrutlon:. Utlllties:�Sesnrrvri_'Iep�fc3�fisdirig i3igMtt:_ Name STANDARD PACIFIC Q FI.ORIDA ►Name VYNGENT AEi GPcQQ. Address:8895 NORHT MlL,ITARY TRAIT . Company ONIVERSAL WORLI .CbNSTRt1CTION ING., City. PALM BEAOH GARDENS State F Address 5201 51N 188TH;AVE l Zip'Code 33410 Fax, city;SC7U1 HNfEST RANCEiES State FL 34674f? : .. . . .f�rcxr�Na. , 2rp Gode:.33 Fax: . E F1Ia�#At1S'C[N SIFVIS�,fa� idAR C:tlM> Plioie i14 tit 4e iiiiple Tti4 a Hofdea'on rt�:it�pa0�e" tf elift'erent': E-f�itail' tnOg xr�?rairalfe apr{�uvin frorrt'the Owner listed above) State or County License. 3003T' If value ofxonstructiotr is$2500 ormore,a Rqw Dip,motite of Gomrwancetnent Is"required, i I "Y,-r'- d•-ry uv".-nae'g��a-��erw-hM ia' ."'""`i•1`it"-'$yh","°' r 4"z:ti -A'3' "v� ,� i�;*, -bC�?'y,i'�'a^":'� �"'}[e ;Z`-s't+�l�. YeLn+ 'F!``3"✓a �'�- z" - ' .'S.s ..�."S•-.�.. DESIGNER ENGINEER Not App#icable; MoRTGAGE:CdMPANY Not Applicable l ldame; Name Address Address Ctty: State Ctty. State,`w,_,�„: Zi Phone.: : Zipr hon p e P FEE�tISWOU TITLE:+t-IOLCtgg f�fat.Ap�itrai�le 011iC11hifa CCIMFANY Not�Appitcor a:ble Nari�e. Na[r3e� 4cielreSs. Adclres5, City. Zip: �,:Phone, Z>py - Phone .. y AWNERf C4NTRACTbR AFFIDVIT Application is hereby made to.obtain a permit to do the:work and installation as indicaked z r certify that.io work;'9r lnsta(iation.has commenced prlortb the issuance of a.permit: St tue(+aGauri.: iia(ces- &P ta[larr tha Y gtal�tT>i pe r Tftu i;atd, Cliixefft erns€bolo >eo Ci% tf ljjea ',:uct es Lt/lji t3;is fn Al is ;tviti ate P{7i'c71liG'#[{}JiYet ?�Int3Y : OSOC ca Q u}Cask �jlr�lt`tsl {'�s2 M-) ,� fia�Ai7�1�/1C& iG�Oh•(�C Iil3l SdJC11�:. stirs tW� .t?tt coitsuit+nrti, : . K3c tb>eO�tirJ trs4iYSsoAia�z+aanatl ( !t iN (P f€ :d r 4t 4io� ` #t r��zi(;aIppu to edtisfderatign of thegrarrtrngoP thts'requested permft,t do hereby agree that li.wiii,id,am respects,p rfgrm the watt In:accordance:with the approued plans;"the Fior3da Buliding Cod0s add'St.Lucia Gvunty amendments, ;iThefallowing:building.,perrni't blicationsareexempt:from.undergo(ng:a;fullconcurrency;revlew;roomadditlons . : accessary stryctures;;swl►riming pao s,:fences;Wails,'signs,s eier►rooms and accessory uses to.another non-resldential,use: C WARNiNG TO.OINN6R Your fa fare to Record_a Notice of.Commehceiinent may,result in..yourpaying:twice.for � t r j , c ae r��d aochosted orabsixer.npvo ntsv youxP before them rn pectron:;if ymi ►atent# ►da1n.Finahclrtg,;eonspit wlthertderfcrx�rn attar=rret trier _ rr3orr►inertcinnr4rk;or reCcirdr � iir l,Iatic�a.QC�rr�rn; ncne t. .,,. _.. 5(gnature'of Ouvner/.Gasses%Cohtractor as Agent for Ownet Signature af'.Gontractor/UJ ense-Holder STATE OF FLORIDA STATE OF Id A COUNTY:OF Tfic'forgvin irtstr mi nt r�ua :aclsnon(w&d baf©te rrie T)le fprg�ng fnst�n►edt was ad<rtfrwiecigad l9ai�r�me thfs day offs 1D bit 24 lit.b1 . dc Natris of person rq ng stat �pk .f/jj , Name of person mak statement Personally Itnown > R Pro �'i+� Ct1� i1� Perso I y Ktluwn '/ OR;Produced IdentifieaYfon:._na I Type of Identification �� Q- MIS$(ON •...y� i� ' T* of lden_tification` mi Mee�ya g%;;offs P 4 tl H H: {f37 a�� 5tgeaturetcffilsiota�j+.Rubtrc '. task E flF iSigV. urerf sfotary Rctbl(ca� . ' f: �' !* �b/Ic.unde 0��� - F�F 2�t�22. .. • n � , f Cam ission:No �iij�l pF ��� Conmisslori No D i 41 k ,• �i�rllit11i1�1����� REl�11rNt1!S FRONT ' �C►P}#la1G ,. SUPERVlS0R A!Al�S V�CrFFAz�EO}�i SEA TURTLE .' MANGRoVE: tCO.IJIUTEf7 , REUfEVti REiNIEW R1=YkIEiM l2V�lEUU? 1tEUfEVll1 R3:1/1E0 �' DATE i RECEIV(EO DACE, !` COMPLETE :. Rev`S/2/ Z