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Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Fence PROPOSED IMPROVEMENT LOCATION: Address: Michael Dickisnon Legal Description: Lot 11, Block 139, Lakewood Park Property Tax ID #: 1301-613-0077-000-9 Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: 90'- 6' Wooden Fence Commercial Residential x Lot No. 29 Block No. 139 Right Side: Left Side: CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit— check all tnal apply: HVAC 7 Gas Tank F]Gas Piping _ Shutters 11 Electric El Plumbing Sprinklers 11 Generator Total Sq. Ft of Construction: S�Ft.j of First Floor: Cost of Construction: $ 2050.00 Utilities: n Sewer []Septic OWNERAESSEE: Name Michael Dickinson Address: 5813 Killarney Avenue City: Fort Pierce State: FL Zip Code: 34951 Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the owner listed above) QWindows/Doors Roof Building Height: CONTRACTOR: Name: Daniel Turner Company: 3-D Fencing, LLC Address: 474 Autumn Terrace City: Sebastian State: FL Zip Code: 32958 Fax: 589-9989 Phone No. (772)388-0844 E -Mail: 3dfencing@comcast.net State or County License: 26927 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I➢ SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: 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: _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 inspection. If you intend to obtain financing, consult with lender or an attorney before commencing worVTpr recording your Notice of Commencement. Signature of Owner/ Agent/ Lessee Signature of Contra or/License Holdt STATE OF FLORIDA n COUNTY OF hAi�h RiLer The forgoing instrument was acknowledgedefore me this day of fun 20 Y by --Dah TL.,Y, n a i— (Name of person acknowledging ) (5L alL�� (Sign ture of Notary Public- State of Florida ) STATE OF FLORIDA COUNTY 0F___J_v,Jian The forgoing instrument was acknowledged before me this ;U day of Stunk— , 20_AA�by �qr h %t, (Name of person acknowledging ) ' / (Signatur of Notary Public- State of Florida ) Personally Knowny OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced rr a lmmission No.J I7.211 % A `n C(S2�I Commission No.�i— l yell . CYN04A LU MARCHA f MY COMMISSION 6 MY COMMISSION #FF142176 :�y v °�` • ds, ExPIRES Septeni .it of F�J, EXFmtS tieptember 21, 2018 Revised 07/ 15/2014e.com (407) 398.0153 FloflddNOtery5en�ic REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS feet 100 ',,` earth metersI 50 ce- Property Card Page 1 of 1 Property Identification Site Address: 5813 KILLARNEY AVE Sec/Tow n/Range: 12/34S/39E Map ID: 13/12N Zoning: RS -4 Ownership Michael N Dickinson Jennifer Dickinson 100 E 2d Ave Parkesburg. PA 19365 Legal Description LAKEWOOD PARK -UNIT 1 I- BILK 139 LOT 29 (MAP 13/12N) (OR 3330-2335) Current Values .lust/Market Value: $39,900 Assessed Value: $39,900 Exemptions: $0 Taxable Value: $39,900 Taxes for this parcel: SLC Tax Collector's Office 12 Parcel ID: 1301-613-0077-000-9 Account #: 3188 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,128 Gross Area (SF): 1,316 Land Size (acres): 0.24 Land Size (SF): 10,648 This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved. http://www.paslc.org/RECard/ 6/28/2016