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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:" 6 L�' �� Permit Number: � 6©LI r 0�11 V���Q � ' IFED Building Permit Application APR.18 2016 Planning and Development Services PERMITTING Building and Code Regulation Division 5t. Lucie County, FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Fence PROPOSED IMPROVEMENT LOCATION: Address: 1303 W 1st Street, Fort Pierce, FL 34982 Legal Description: WHITE CITY BLK 74 W 20 FT LOT 4 AND ALL LOT 5 AND E 15 FT OF LOT 6 AND N 1/2 VAC ALLEY ADJ ON S (0.24 AC)(OR 3747-317) Property Tax ID#: 3404-501-0445-000-8 Lot No.4,5,6 Site Plan Name: LaPenna Fence Install Block No. 74 Project Name: Install Wood Fence Setbacks Front25'+ Back: 2-4" Right Side: 2-4" Left Side: 2-4" DETAILEDDESCRIPTION OF WORK: Install eighty one feet of six foot tall board on board wood fence with one five foot walk gate. CONSTRUCTION INFORMATION -r= itiona wor to e e orme un er t is permit—check a appy: HVAC 11 Gas Tank Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers F Generator 11 Roof Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 1,590.00 Utilities: Sewer Septic Building Height: OWNERAESSEE,: CONTRACTOR: NameAntonio LaPenna Name: Darrick Bailey Address:1303 W 1st Street Company: A Great Fence City: Fort Pierce State:FL Address: 515 NW Enterprise Drive Zip Code: 34982 Fax: City: Port ST Lucie State:FL Phone No.501-9960 Zip Code: 34986 Fax: 408-0272 E-Mail: Phone No. 812-0223 Fill in fee simple Title Holder on next page(if different E-Mail: info@agreatfence.com from the Owner listed above) State or County License: 23954 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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. 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 corded and posted on the jobsite before the fir inspection. If you intend to obtain financing, consult, Ith lende or an attorney before commencinzwork or reilording your Notice of Commencement. s _Si t7Fs'T ner/ ss a/Agent Sig at of ontr /Li rise Holder S T FI A T E F FLORID V TYLUCIECOLIN OF STLU IE The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me this A/ day of APAdL . 20 /1. by this 14 day of AP ' .20 & by Darrick Bailey 1 Darrick Bailey (Name of person acknowledgi (Name of person acknowled ' (Signature of rota ublic-State of Florida) (Signature of Nota ublic-State of Florida) Personally Known x OR Produced Identification Personally Kno x ntification Type of Identification Pr Type of Identification Pro ut � Yp °sr'`B�% CRYSTAL BISHOP '€ My BISHOP _: Commission No. FF039152 *i . Commission No. FF039152 ':TrF.........:Pa= i N#FFo3s152 My C(��lSSION#FF039152 EJ�-P'Ii Jul EXPIRES July 24,2017 (407)3sa-015s y 24,2017 °FF ••" Floridallo tarySe .com Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS