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APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
ate: August & 2019 Permit Number:
RECEIVED
- _______ _.__ ___ Building Permit Applicatio Auu 0 2 ?"9
fanning and Development Services ST. Lucie Ceant+�; PLL!-;FHi
uilding and Code Regulation Division
300 Virginia Avenue, Fort Pierce FL 34982
hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
ERMIT TYPE: Fence - POOL BARRIER
ROPOSED IMPROVEMENT LOCATION:
dress: 18003 Bridle Way, Fort Pierce, FL 34987
)e rty Tax I D #: 3211-701-0024-000-3
Plan Name: Beath Fence Install
ect Name: Install Alum Fence
I DETAILED DESCRIPTION OF WORK:
:.-_a_11 A7cI 1 r _r AI 3_11 n -_:I _I..— s____ ..:LL n__ 11._._11_ _._--
Lot No. 22
Block No.
VI T l 11 6 1G 1 G UII� IGIIVG YYIUI c.Ga V YYQIfX yG1lGJ.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4,390.00 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
�ame Michael Beath
Name: Darrick Bailey
Company:A Great Fence
Address:18003 Bridle Way
City: Fort Pierce State: FL
Address:751 NW Enterprise Drive
Zip Code: 34987 Fax:
City: Port ST Lucie State: FL
hone No. 772-618-5097
Zip Code: 34986 Fax: 772-408-0272
E-Mail: warbird226226@yahoo.com
Phone N0772-812-0223
reatfence.com a
E-Mail info @ 9
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
i
State or County License23954
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x_ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
E SIMPLE TITLE HOLDER: _ Not Applicable
ime:
dress:
Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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.
Tt1e following building permit applications are exempt from undergoing a full concurrency review: room additions,
acIcessory 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 IMPRflIEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE OB SITE BEFORE THE FIRST INSPECTION. IF YOU INT TO OBTAIN FINANCING, CONSULT
WITH YOUR LENVERORAW ATTORNEY BEFORE RECORDING YOUR NOTICEOF COMMENCEMENT."
for Owner
ATFOF FLORID/N
TY OF ST Luci
e forgoing instrument was acknowledged before me
s 1 day of August . 20 1 ?by
ick Bailey
me of person making statement.
rsonally Known x OR Produced Identification
3e of Identification
educed
re of Notary P
mmission No. GG12761
" �C`RYSTAL Y BISHOP
MY CO MI SION # GG127618
EXAM July 24, 2021
Signatu7FL
o r cto"Li nse Hold
STATE RIA
COLINSTLucie
The forgoing instrument was acknowledged before me
this 1 day of August 2019 by
Derrick Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
(Signature of Notary Pu
Commission No. GG127618
"MYSTAL Y BISHOP
MY CO IS ION # GG127618
I- July 24, 2021
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