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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County RECEIVED
Building Permit Application SEP 07 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 X St. Ldcle County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 7324 Commercial circle Fort Pierce fl 34951
Legal Description: Kings�hi hway industrial park unit 1-blk D I ot7
Property'rax lD#:1 33580100430004 Lot No. 7
Site Plan Name: Block No. D
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
8 ft wood privacy fence with 1-20 ft role gate
I CONSTRUCTION INFORMATION: III
maumondiworruoueperiormea unuer Enis permit— cneCK aii inar. appiy:
— HVAC —GasTank — Gas Piping — Shutters —Windows/Doors
— Electric — Plumbing — Sprinklers — Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2400 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
)e
Name True Stone, Properties lic
Name: Lionel Dunbar
3207 Se south lookout blvd
company: Black street Enterprises Ilc
.,Address:
city: PortSaintLucie state: FI
Zip Code: 34984 Fax:
Phone No.
E-Mail:
Address: 535 N Mercantile pl unit 107
city: Port Saint Lucie State: FI
Zip Code:_ 34984 Fax: 954-931-5707
Phone No. 772-344-8203 C
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Ldunbar@bsefl.com
State or County License: CGC 1509119
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
M
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone—
City: State:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 priorto the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in conxict 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,lwork or recording your Notice of Comme cement. e)
Signa/ure of DPW Lessee/contractor as Agent for Owner
Signafure of fontractor/License Holder
STATE OF FLOZfA,,_y
COUNTY OF
STATE OF FLO li#.
COUNTY OF -
The f ing inlfint was
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The for oing instrulmt was acInowledged be re me
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this, day of 26 b) -z
.8cknowled.,
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Nameli&er�"aldng statement E
Name of rt��maklng statement
Personally Kno OR Produced Identi icQcA
Personally Known — OR Produced Identifi
:ation3:
Type of Identification :9 0 X
Type of Identification
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X 0 X
Produced m M
Produced
:R C) ;a
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(SignaJure Notary Public- State of Florida)
ilignTaure of Notary Public- State of Florida
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Commission No. (Sea
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REVIEWS
FRONT
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SUPERVISOR
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SEA TURTLE
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REVIEW
REV
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REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17