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AII:APP IC ABLE UFO MUST BE COMPLETED Foft APPLICATION TO BE ACCEP I EDGG
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r . 300 ftrginid., Avenue,. Fort Piipr:e Ft-34,982 i 1
Phony. (77:2) 462-1553 Fax: (772 ) 462--1573
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PERMIT APPLICATION FOR: CONSTANCE DELANE . '
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Address . 29 NE TUNISQN AVE PJRT ST LUCIE, FL 34983 l
PropertyTax.ID Ja.,. .419 bfl-?J43- -5 mm �' Lot No.
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S,te Plan Nara.e: - iIclC.No. 77
Rroject Maine: t;J lv,i'.NEY77,7
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REMOVE: OLD WOOD FENCE AND REPLACE 132 F`" OF 6FT HIGH WHITE I,VC FENCE *ITH ONE SINGLE GATE
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New E ectrisA Dieter . _ Second Electrical Meter
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Sri' ii:a1€a{.ia9 b�;c r o perfs�rf ed; under this permit —,check that apply:
_It7I CllnXt t iS Tank Gas Riping _ Shunt's I _._. �lfln4;IC1P;'�/Doors Pond
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Electric _ PlUrribing, Sj rinklllee,(rj; _ enerat€�r Root Pitch
��J� �-� `�= Sy. Ft, of First; Floor:_. Total ��: Ft of Construction. ,� 'r.._.
ast:of Coristru :tion: a _._._ �O tltiliLiesc `Sewer Septic Ciu! lding Height:
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f. N�t.na� �(.?t I�i C'S rCicnc:..lC1 1'.�i13i'f ii-lj�I�`t>~y �1i- me G'-ICS TI=•.F; i\!CHF,,!Q Y
Address: Company: TUA , T FENCE
C ity:.Y C— .. StatE: Address PO 2� fi�
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RT Stale:. FL !.
Zip Cade:._ FaY. i City;. STUART
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Pbone No._ '_ 9 v �- , � t _�.�, �. , Zip Cade . S4995 ! _ lFar;, 7722883035
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11 E-ii�Sail Phone I�Je25-11L
Fill. in fee simple Title Holder cart next.nage (if different E-Mait S i UAR i FENC.I=;c BELL'SOUTH.NET
i GtiYYi lii } ti�EC listed `iPt3Vi')' i .State or Loon, l'license ` 019783
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tf value of construction is 2500 or more. a RECURDE& Notice of Commencement is rr�'quired. j
If value of-HAVC.i9,$7,5006r:rnclre, a.RECORID'ED Notice ofCornmencement is required.
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jDiiEStitiiEREiiGiiVEER. —Not:App(ieabie
i :�[V�ytEiTCAGE fiCiMPAtY Not Applicable-.. _ .i
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City:: .. -." . Stater
Clty. State:
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Zip- Phone'
f FEE SIMPLE TITLE. HOLDER Not Applicable,
tiMPANY9 Not Applicable
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Address:
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Zip Phone ..
�OWNER/ CONTRACTOR AFFIDIJIT: Appl £atsr,ric hereby made to flb€airs a psrrnit.to dothe vvorK and installation as'tndicated.'
k i cer installation has corj'meneed prl r io t€lE lssuanc of i pef''ait'
Stuc „', Count, makes no representat on tifat,isgrahting,a permit twill authorize tit p?rmit molder to guild,` the subject structure
'hich €Sin:con�iict-,Njith'.any ap�iltcable Home 0wriers Association ruie f, €.7jilaJ' s or and covenants that i,Ti ay restrict or prohibit -such_
`structure. Please consuft with your Home Owner., As,Sq ia,tion and reviEtRl your- deed for any rC Strictiorts Stilirch may apply.
In cornsiderationo the &arttin; of'thi's requested' permit; I do hereby agree that( will, in all rasbects . perform- the work
in aces rdance v+ th the approved plariis the Ficrida Building Cedes and St.. Lucie County :Amendments.
i he ftail'owihb biai€ding pr r t i pp1 cat' ' a=e e errip, from c,ndert;eing a ffuil concur encyre�.i�.�,v._room addition's,
<aC , e.>ury Structw, sttiirr ming,pools,, fences, Yd ali�, ai ,CtS ,_i.c�er} roaii s.,2nd accessonj uses to akidther n'6 -residential use
JiiA1N 1,G'TO OWNER:: Your failure to Record:a Notice:of Commencement may result in paying twice for
improvements to your property. A Notice C.6,ni rlencomenfi mi st be re.co(de d In the public records os 5t':-
Lucie County and, posted on the jobsate before the: first inspection - If you intend to obtain financing, consult, �
ifih lender or an aiWt, rie� bad re cci n trienc,nrark at recortllratir Notef C�rirnerrcWn7rs: '
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Signature cf Owner €aerr I.255ee/Contractor as,A ' t T y n turn of r raa t r�L:� : se F lder
STAVE OF FLORIDA ATE C+Fq�F%ORIDi4CS iIiVTY t}FU:NTY OF ih
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Sri°Orr) to (car afflrinedl and sbbsr nbeci;€ &o e m of Sworn to (or aff rmedI arrd :s hsc ibed before Me Of 1
aft Cal Pr. St it�cE or § !ia=.e Notaricatioil "�flysi� „l f"S!'RC[ t r t
Jiil.ite t�otarl?afiar i
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i Name of person rnakih" raterrient, - _. �.. � a�'�Hrarne o; " ersoo rha inn statement_
i y . fro, used identifitaticsti'.. _ i'er crariy 1 i� iwia �'' Predi�cedi td"ent€flatiron
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j' REVIEWS i 'FRONT ZONING i. SUPERVISOR � PLANS � �JECE C?N i SCATU LE MANGROVE 1
C(�t.l.NTE€_ REVIFW REViEutt .-. ; R�E'AE.W RL)Ilt 1t RC [Ey 1 REVIEW
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