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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/10/2020 Permit Number:
" = RECEIVED
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Building Permit Applic tlonFEB 1 1 2020
Planning and Development Services
Building and, Code Regulation Division ST. Lucie County, Permitti
2300 Virginia Avenue, Fart Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential)
PERMITTYPE: Fence
PROPOSED IMPROVEMENT LOCATION: a
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Address: b15 5 36NU St (`F o
Property Tax ID #: 2408-701 -IjE6i -000 3 Lot No. 7, 8 & 9
Site Plan Name: Block No.
Project Name: MDZ Properties LLC
DETAILED DESCRIPTION OF WORK:
Install - Install 1000' of 6' high qalv
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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 i Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 17,560.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: q i
Name MDZ Properties LLC
Name: Geary S. Adams Jr.
Address: 12773 Forest Hill
Company: Adams Fence 2 LLC
Address:1206 8th St
city: Wellington Stater
Zip Code: 33414 Fax:
Phone No. 772-971-7055
city: Vero Beach State: FL
Zip Code: 32962 Fax:,'
Phone No 772-999-2038
E-Mall: dannywilliams0925 aacomcast.net
E-Mail elizabeth(wadamsfencecomoany com
Fill in fee simple Title Holder an next page ( if different
from the Owner listed above)
State or County License 27078
If value of construction is Sx5uu or more, a xtwnucu rvuuce U1 ......
If value of HVAC 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: _
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIOVIT: 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 p�ermit will authorize the Permit holder to build the subject structure
structure. Pleasee consulanyaprohibit such
withpyourHome Owners Associationtiandrreview your deed focovenants reictithaons which maor
i
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 no,n-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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.'
ighature of Owner/ Lessee/Contractor as Agent for Owne
Signature of Contractor/License Holder
STATE OF FLOPtIDA
COUNTYOF lorida
STATE OF FLORIDA'
COUNTYOF Indian River
The forgoing Instrument was acknowledged before me
this 10th day of February. 202()_, by
The forggoing Instrument was acknowledg�dbefore me
this10thday of February . 20_ 6y
Geary S. Adams Jr.
Geary S. Adams, Jr.
Name of person making statement. l
Name of person making statement.
Personally Known _ OR Produced Identification _
Type of Identification
Produc d
ELIZABETHEVANS
(Signature of Notary P 411 F o iss!o,#FF989142
•�;, o°;;d?0�� kv�omm pins May4,2020
Commission No.• •.°• Seal
Personally Known V_ OR Produced Identification
Type of Identification
Produced
;ELIZ
(Signature of Notary Public- at i4a potaryFubllc-stateofftrl
- Commission a FF 989142
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Commission No. '••^^ •' ( 1'
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