HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 10 2)o fI
� r
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: 955 Tarpon Flats Dr, Ft. Pierce, Fla. 34949
Legal Description: Tarpon Flats Subdivision (PB69-27)Lot 34 (or 3853-2689)
Property Tax ID#: 1423-566-0037-000-9 Lot No.34
Site Plan Name: Block No.
Project Name:
Stone
Setbacks Front 42 Back: 0 Right Side: 0 Left Side:
DETAILED DESCRIPTION OF WORK:
Install 112'of 4' Bronze 2 Rail Aluminum Fence across the rear property line and down the right side
of property for 33 If with a 4' walk gate then back to house for 14'. Then on left side over to left
property line 20' with a 4' walk gate. Total LF 183'
CONSTRUCTION INFORMATION:
Additional work to ff
rorme un er t is permit—c ec a app y:
HVAC Gas Tank F]Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3864 Utilities:0 Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Lee Ann Stone Name: Ross A.Chambers
Address:955 Tarpon Flats Dr Company: Adron Fence Co
City. Ft. Pierce State:Fl Address: 1132 NE 12th St
Zip Code: 34949 Fax: City: Okeechobee State:FI
Phone No.508-335-9189 Zip Code: 34972 Fax: 863-763-8404
E-Mail: Phone No. 1-800-282-5172
Fill in fee simple Title Holder on next page(if different E-Mail: adronfence@live.com
from the Owner listed above) State or County License: 18971
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
3�
DESIG.I ER/ENGINEER: —Not Applicable M T7GAGE COMPANY ,Not Applicable
Name: Named
Address: Address
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLD : —Not Applicable BONDING COMPAN 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 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
commencin work or recording r Notice of Commencement.
S
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF OKEECHOBEE COUNTY OF OKEECHOSEE
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this / day of Athf4L 20 /-1by this is day of MARCH 20 17 by
ROSS A.CHAMBI'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 Pi �ds , Type of Identification Produced
DOREEN ELA7Florida
Commission No. °` �`<�; Notarg%bly-StatCommission No. �`�::'r NotaryD�1y Comrn. Expires Ot, ', My Corr^ LxpiiE6 Jct 21
Co emission #� FF 1500e7 ` '`- "11 Cora �tssion # FF 15c
°' Bonded Through National WaryAssn
Bonded lhrough National R"
Revised
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS