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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: oqI?Permit Number:, �D .� T
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITAPPLICATION FOR: Fence
Address::13196 NW Wheaton LN
Legal Description: RIVERBEND (PB "67-36)_LOT 2
Property Tax ID #:,4425-703-0007-000-4 _ Lot N0.2
Site Plan Name: _.: ._ ........ Block No;.'
Project Name:, RIVERBEND
Setbacks Fro nt110' Back: 175' Right Side: 50' Left Side: 50,
nstallation of 4' High aluminum fence with two single gates (4' High x 4'Wide Self -Closing! Self -Latching)
IN
Pr, TTTIM7
HVAC jj Gas TanShutters O'Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
13
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Total S . Ft of Construction: 385' LN FT.
q Ft of First Floor:,
I 10,375.75 4' Hi" h
Cost of Construction: $ Utilities Sewer "'` Septic Building Height: 9
Name Standard Pacific Of Florida
Addresse15360 Barr i=4PKWY
City: Irvine State:CA
Zip Code:._ Fax'! -
Phone No,
E-Mail`;"
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Vicente Delgado
Compan'r Universal World Construction .
Address:. 5500 NW 74 Avenue
Cny; Miami State: FL."
Zip Code: 33166 Fax:, (305) 477-7192
Phone No. (305) 477-7191
E-Mail: Maggie@royalfencecorp.com
State or County License:. CGC-1506324
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
ca
€ DESIGNER ENGINEER: Not App
— 1
_
!cable MORTGAGE COMPANY: — Not Applicable
Name:Standard Pacific Of Florida I
Name;�cente Delgado
Address_19196 NW Wheaton LN
Address:,15360 Barranca PKWY
City:, Irvine Statei`"
City: Miami State:
Zip: Phone:
Zip.— ._;Phone•.
FEE SIMPLE TITLE HOLDER: — Not App
icable BONDING COMPANY: Not Applicable
i
Name:..__.,..... ...........
Name'
Addre5S:5500,NW74Avenue I
Address:
City -
zip';, : Phoned I
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
rior to the issuance of a permit
toi ism' sixtf s3 1 es trio et rtimmi . that is g
Itg : f�c myth l�r rn thine Own
'�i=rmit will girt-'rq� tie ht1� . ;,%UN i� structure
tian ruleM°1 � .fir 2r� rye s r� ( N ohibit such
'°5
r3S1C 3 Ff ti+�l�sulMl$91i�Iia Owners
si and reva zaa` �! • l xp - M 0 tx>a ly.
In consideration of the granting of this'requested permit,
I do hereby agree that I will, in all ^respects, perform the work
in accordance with the approved plans, the Florida Bu
Iding Codes and St. Lucie County Amendments.
The following building permit applications are exempt�from
undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, s
gns, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record
Notice of Commencement may result In your paying twice for
(rii r t nts to your property. A Notice of
commencement mu r he'recorded and posted on the jobsite
LO ection. If you intend to obtain
financing, i�a'ijstfltwith lender or an attorney before
5r r tun work o-r_recordin ,: Ur Notice_cf
Commencemenr" '
wner `S; ia3tii ' +1tgT r/License Holder
Signatu ,p ql 00V)l Lessee/Contractor as Agent for
SiA C4lop Fli llf li•,
COUIT[
STATE OF FM`A! A' I
COUNTY OF,,'inx J,,
Th kt, instru ty 4t.cknow led iefai
l thi E4 of; 'i'• s 20 ! by
I
a The .,.,0instru was acknowl fttie ore me
this ' of .: Br by
�'K ..__._,
a
f �_'Y rhl i i f, t IJ
rstakI . tatement
Name ofi?i!p 4ftit statement
Personally. 10"'On r " ` OR Produced Identificatic
n, , Personally Known„ T4,,OR Produced identification
Type of tIIC4aai:
Type of Identification
^
(Signature of PeL &,t�
(Signature of �1oSa�pr c
e.$ ry s
Commission No. ' %om7s@aFJ
_ inra t
Commission Noy (s i a (�ij�rnr tfi s ,
'
0
3 A^
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW
REVIEW
......
DATE
RECEIVED
ll
DATE
COMPLETED J.
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1
Rev. 8/2/17
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