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CEPTED
APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE eCm t Number:
November 17,2016 p
•
NOV
Building Permit Application nEr,J,,TTii1iG.
Planning and Development Services St. Lucie County, FL
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: Fence
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PROPOSED"IMPROVEMENT LOCATION:
Address: 6501 Paso Robles Blvd, Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 9 BLK 116 LOT 14(MAP 13/01n)(OR 3785-2639)
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Property Tax ID#: 1301-611-0341-000-5 Lot No. 14
Site Plan Name: Hazel Fence Install Block No. 116
Project Name: Install wood fence
Setbacks Front25+' Back: 10+' Right Side: 10+' Left Side: 10+1
DETAILED DESCRIPTION OF WORK
Remove 170 LF of existing wood fence and install 212 LF'
of 6 foot tall shadow box
.
wood fence with
1 ea 16 foot drive gate.
I'"Cb:NSfR6'C-Ti"ON"I'N'FQR,-M'?'�TION
Additional work to be nertormed under this permit—c ec a appy:
1JHVAC Gas Tank ❑Gas Piping 0 Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers I Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2455.00 Utilities:l Sewer Septic Building Height:
,'bWNtR/LESSEE. CONTRACTOR:
Name Percy Hazel Name: Darrick Bailey
Address:6501 Paso Robles Blvd Company: A Great Fence
City: Fort Pierce State:FL Address: 515 NW Enterprise Drive
Zip Code: 34951 Fax: City: Port ST Lucie State:FL
Phone N0.828-3502 Zip Code: 34986 Fax: 408-0272
E-Mail:perce111@aol.com 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.
V
SUPPLEMENTAL CONSTRUCTION'UE'N lAW INFORMATION;
SIGNER/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 recorded and posted on the jobsite
before the first ' spection. If you intend to obtain financing,consult wit lender or an a orney before
commencingr or recordi our Notice of Commencement.
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Signatu ofZC12A
nssee/Co c or as Agent for Owner Signatur f C ra or Licens old r
STATE OF STATE OF FLORIDA
COUNTY OF STLUC1e COUNTY OF ST Lucie
The forgoing instrum�1ent was acknowledged before me The forgoing instrument was acknowledged before me
this I l day of KLQV L•vk/3!L . 20 &by this " day of November 20 by
Derrick Bailey 1 Derrick Bailey
(Name of per n cknowledging) (Name of pers cknowledging)
(Signature of Notary u lic-State of Flori (Signature of Notary Pub c- ate of Florida)
Personally Known x OR Produced Identification Personally Known x R. y, d Identification
Type of Identification Produced Type of Identification Prod
"' e/s
Commission No. FF039152 "" (C —_ Commission No. FF039152 q
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CITY;,t CAl._ FJISHOP 1sa ORESI'l *FF03
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L #FF039152 aWVofe 2017
Revised 07/15/2014 E>:�'I`;t ay 24)201 e0153 - FlcutL� ,N�(CT11100.00fD
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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