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All APPLICABLE INFO MUST BE COI :TED FOR APPLICATION TO BE ACCEPTE
Date: 1201712020 Permit Number: 241 a3ff
94 LOME
a'
U L Building 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: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5203 Paleo Pines Circle
Property Tax ID#: 1312-801-0150-000-6 Lot No.347
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK: ' I
Remove and replace G�k fence with 6' high wooden fence . I N /v (w V f E—C-^cce
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:
Cost of Construction: $ 7,9 J V Utilities: _Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Charles F. Jones III Name:
Address:5203 Paleo Pines Cir Company:
City: Ft. Pierce, FL State:_ Address:
Zip Code: 34951 Fax: City: State:_
Phone No.561-373-0503 Zip Code: Fax:
E-Mail:cfJones@comcast.net 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.
If value of HAVC is$7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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. 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 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 oro attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF StLum COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or_Online Notarization Physical Presence or_Online Notarization
this ath day of Dnlaer .2020 by this_day of.2020 by
CN .F.Jonas,III
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produ ed Produced
( lure o tary Public tate of Florida ) (Signature of Notary Public-State of Florida)
Commission No. GG908037 ++✓''. .. (HSeaIQATHY DAWN FURR Commission No. Seal
otaPublic-State of Florida (Seal)
Co n nbsion a GG 908037
7 m7
Bordedi thr Rh Hatimal N
REVIEWS FRONT otary As PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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