HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICAB E IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �}
Date: 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: Fence
PROPOSED. IMPROVEMENT LOCATION?.:
Address: 2203 N 51st st, Ft. Pierce, Fla. 34946
Legal Description: Harmony Heights Addn Blk M, Lots 8,9,10 (or 3172-1989)
Property Tax ID #: 1431-701-0221-000-4
Site Plan Name: Bailey
Project Name: Bailey
Setbacks Front 35 Back:
Right Side: 0 Left Side: 0
DETAILED DESCRIPTION Q(WORK
o�g 'o f �' �. 3
Lot No. 8,9,10
Block No.
Haaitionai worK to De errormea unaer tnis permit— cnecK all apply:
HVAC _ Gas Tank ❑Gas Piping_ Shutters Windows/Doors
Electric 0 Plumbing Sprinklers I Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 5394 Utilities: Sewer F]Septic Building Height:
1.0 ' =
CONTRACTOR:
Name BAILEY, YVONNE
Name: ROSS A. CHAMBERS
Address: 2203 N 51ST ST
Company: ADRON FENCE CO
City: FT. PIERCE State: FL
Address: 1132 NE 12TH ST
Zip Code: 34946 Fax:
City: OKEECHOBEE State: FL
Phone No. 772-971-7746
Zip Code: 34972 Fax:
Phone No. 800-282-5172
E -Mail: pyvonne59@yahoo.com
E -Mail: adronfence@live.com
Fill in fee simple Title Holder on next page ( if different
State or County License: 18971
from the Owner listed above)
it value or construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION L
D IGNER/ENGINEER:
Nam
_Not Applicable
M TGAGE COMPANY:
Nam
Address:
_ Not Applicable
Address.
City:
Zip: Phone:
State:
City:
Zip: hone:
State:
FEE SIMPLE TITLE H DER:
Name:
_ Not Applicable
BONDING COMPAN .
Name:
Address:
_Not Applicable
Address:
City:
REVIEW
City:
DATE
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 thepermit 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 work or recording vour Notice of Commencement.
-I.V
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF OKECHOBEE
The forgoing instrum nt was acknowledged before me
this Z'7 day of 20 t'7—by
re of Contra
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me
this 24 day of FEBRUARY 20 11 by
ROSS A. CHAMB�RS 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 Prod Type of Identification.Prod e
.``IAYP''o DOREEN ELARDI .``avv�l� DOREEN ELARDI
Commission No. 41111 a�� C mmission No. °`P B�% -NotaryPubl(;5e@JJte of :Floridll
A Publ;c - State of Flori a _
- -• : : = My Comm. Expires Oct 2
��* r My Comm. Expires Oct 21, 2018 ?;• ¢��
-Commission # FF HOR7
o OF Ft° " Bonded Through National Notary Assn.
"'11111`"��� Bonded Through National Notary Assn.
Revised 07/15/2014
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