HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r_
Date: Permit Number: 1 k
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: Fence
PROPOSED IM"FROVEMENT LOCATION 1 . .
Address: 429 SE Tranquilla Ave, Port St. Lucie, Fla. 34983
Legal Description: River Park -Unit 4, Blk 33, Lot 18 (Map 34/28N) (or 312-2004)
Property Tax ID #: 3419-530-0075-000-9 Lot No.
Site Plan Name: N/A Block No.
Project Name: PREVETTE
Setbacks Front 53 Back: 0 Right Side: 0 Left Side: existing
DETAILED DESCRIPTION OF, WORK.
Install 89.9' of 6' Board on Board Wood fence across the rear property line, 62' down the right side of
property then 13' back to corner of house including a 8' double gate. On right side of house 15' from
the house to the existing fence including a 4' gate.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Prevette, Michael
Address: 3028 S US 1
City: Fti. Pierce State: FI
Zip Code: 349+82 �Fax:
Phone No. L 1 `/ I�
Name: Ross A. Chambers
Additional workbe nertormed under this permit– check
1_1HVAC Gas Tank ❑Gas Piping
a
appy:
_ Shutters
Q Windows/Doors
11 Electric 0 Plumbing
Sprinklers
ElGenerator
11 Roof Roof pitch
Total Sq. Ft of Construction:
of First Floor:
SIn
Cost of Construction: $ 4403
Utilities—
Sewer []
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Prevette, Michael
Address: 3028 S US 1
City: Fti. Pierce State: FI
Zip Code: 349+82 �Fax:
Phone No. L 1 `/ I�
Name: Ross A. Chambers
Company: Adron Fence Co
Address: 1132 NE 12th St
City: Okeechobee State: fl
Zip Code: 34972 Fax: 863-7638404
Phone No. 800-282-5172
E -Mail: adronfence@live.com
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: 18971
If value of construction is $2500 or more, a RECORDED Notice of Commencement is
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SUPPLEMENTAL CONSTRUCTION LIE'k LAW INFORMATION;
FRONT
DESIG R/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: — Not Applicable
Name:
e:
Address:
Ad ss:
City: State:
City: State:
Zip: one:
Zip: Phone:
FEE SIMPLE TITLE HOLD Not Applicable
BONDING CO NY: 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 su ject 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 work or recordine vour Notice of Commencement. i
as Agent for Owner
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me
this � day of H AA c�— , 20 t7 by
/44n) d 4
re of Contractor
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me
this 3 day of "ARCH , 20 1-7 by
Ross A. Chamberb- Ross A. Chambers
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Pro I Type of Identificabor Produced - _ _ -
,.la!;P,,.,, DOREEN ELARDI IIRyp, DOREgN EORDI
Commission No. °o`P �� ����)publ'c -State of Flori a mmission No. %"-P `e�%'= tary Publ; )e of Florida
?• : : •= My Comm. Expires Oct 21, 20 8 . x •`= My Comm. Expires Oct 21, 2018
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Bonded Through National Notary Assn. Bonded Through National Notary Assn.
Revised 07/15/2014
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