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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: April 25, 2016 Permit Number: 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 PERMIT APPLICATION FOR: Pence PROPOSED IMPROVEMENT LOCATION: Address: 5100 E Echo Pines Circle, Fort Pierce, FL 34951 Legal Description: HOLIDAY PINES SID -PHASE 11 -13 -LOT 380 (MAP 13112S) (OR 1750-1696) Property Tax ID #: 1312-801-0183-000-6 Site Plan Name: Farnsworth Fence Install Project Name: Install PVC Fence Setbacks Front25+' Back: 25+' Right Side: 25+' Left Side: 2=4" Lot No. 380 Block No_ DETAILED DESCRIPTION OF WORK: Install 30 L.F. of 6 foot tall PVC fence with 1-5 foot walk gate and 1-10 foot double drive gate. AArta i Z `L -� & f- ' � >° r -r: t� c v : ; :S , rLjcLs iditional work to be pertormea Gas Tank unser tnis permit- cneCk all F]Gas Piping Name Paul Farnsworth apply: Shutters ❑ Windows/Doors HVAC Address: 515 NW Enterprise Drive Zip Code: 34951 Fax: City: Port ST Lucie State: FL Phone No. 579-9515 IJElectric ❑ Plumbing 0 Sprinklers Fill in fee simple Title Holder on next page ( if different Generator ❑ Roof Total Sq. Ft of Construction: Cost of Construction: $ 1,940.00 Sq. Ft. of First Floor: Utilities:0Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Paul Farnsworth Name: Darrick Bailey Company: A Great Fence Address: 5100 E Echo Pines Circle City: Fort Pierce State:FL Address: 515 NW Enterprise Drive Zip Code: 34951 Fax: City: Port ST Lucie State: FL Phone No. 579-9515 Zip Code: 34986 Fax: 408-0272 Phone No. 812-0223 E -Mail: Fill in fee simple Title Holder on next page ( if different E -Mail: info@agreaffence.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. 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 recorded and posted on the jobsite before the first incoection. If you intend to obtain financing, consult Ith lender o an attorney before commencing w . or recording your Notice of Commencement. _ Signat r o / Le gent S-�TAAA��T 0 LO IDA COU 1 TYOF TLude ....._ The forgoing instr ent was acknowledged before me this Z5_ day of HAUL 2014 -,>-by TE OF Fl. JNTY OF )RIDA 5T Lucie The forgoing instrument was acknowledged before me this 2em day of °ipn' 20 It, by Darrick Bailey _k I Danick Bailey (Name of person acknowledging) (Name of persona (Signature of Personally Kno#V X Type of Identifi6tion Prod Commission No. FF039152 Revised 07/15/2014 State of Florida ) OR Produced Identification CRYSTAL BISHOP M4�f�1MISSIQN #FF0391 EXPiRFS July 24. 2017 (Signature of Nota Pu Personally Known x Tvoe of Identification State of Florida ) OR Produced Identification N0.FF9391 :'' MYCOWh 0ON#FF039152 ';;eoFo.P EXPIRES July 24. 2017 398-0153 REVIEWS FRONT ZONING SUPERVISOR DESIGNER/ENGINEER: X Not Applicable SEA TURTLE MORTGAGE COMPANY: _ Not Applicable Name: COUNTER REVIEW Name: Address: REVIEW REVIEW Address: City: State: City: State: Zip: Phone: Zip: Phone: COMPLETE 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 recorded and posted on the jobsite before the first incoection. If you intend to obtain financing, consult Ith lender o an attorney before commencing w . or recording your Notice of Commencement. _ Signat r o / Le gent S-�TAAA��T 0 LO IDA COU 1 TYOF TLude ....._ The forgoing instr ent was acknowledged before me this Z5_ day of HAUL 2014 -,>-by TE OF Fl. JNTY OF )RIDA 5T Lucie The forgoing instrument was acknowledged before me this 2em day of °ipn' 20 It, by Darrick Bailey _k I Danick Bailey (Name of person acknowledging) (Name of persona (Signature of Personally Kno#V X Type of Identifi6tion Prod Commission No. FF039152 Revised 07/15/2014 State of Florida ) OR Produced Identification CRYSTAL BISHOP M4�f�1MISSIQN #FF0391 EXPiRFS July 24. 2017 (Signature of Nota Pu Personally Known x Tvoe of Identification State of Florida ) OR Produced Identification N0.FF9391 :'' MYCOWh 0ON#FF039152 ';;eoFo.P EXPIRES July 24. 2017 398-0153 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS J_ 5100 Echo Pines Cir E Google Maps 14� F _ �.1�5'19-1�L 30 L.r�• C7f PV lhr�171t1"� G ` f4dO 12.'L --F. Mtri L- rVC— Imagery 02016 Google, Map data 02016 Google 20 ft - i E O"L qk( -Tivi) L . 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