HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONPLANNING & DEVELOPMENT
BOARD OF V SERVICES DEPARTMENT
COUNTYCOUNTY
COMMISSIONERS, Building & Code
Regulation Division
Residential Fence Affidavit of Compliance
I, Ross A. Chambers , intending to be legally bound,
hereby certify that work authorized by Permit Number is
installed in accordance with the approved drawing/plot plan/survey on file with the
County.
I certify the fence is:
1. Located within my property boundaries.
2. Not located within any preserve areas or easements.
3. A Maximum of 4 feet in height in any required front yard setback.
4. A Maximum of 6 feet in height on the side and/or rear of the property.
5. Not located within 50 feet of North Fork, Five Mile or Ten Mile Riverine, if my
property was platted before 8/1/89 or not located within 75 feet if my property
was platted after 8/1/89.
6. Outside clear sight triangle (fence shall be erected in such a way so that adequate sight distance
at any vehicular or pedestrian access is maintained)
7. **Not�sed as a fence pool barrier.
�'f i
Owner/Contractor Signature
Ross A. Chambers
Print Name
Date
18971
/Cert. No.
The foregoing instrument was acknowledged before me this 9th day of ,lune ---.20 17
By Ross A. Chambers
Notary Publ:c -State of Florida
My Comm. Expires Oct 21, 2018
0-42�CL?!ter x�:
�;, � Commissp�����a11��ow
F,,; � •� Bonded Throu Natiana a As
Notary Public
X Produced ID
"FENCES USED AS POOL BARRIERS MUST BE INSPECTED BY THE COUNTY
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
4111111111111
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
Address: 3220 Daniels St, Ft. Pierce -
Leeal Description: White City S/D 05 36 40 from NW cor of Lot 99 run S 480', th E 249 It for POB, th cont E 105.50 ft, th
W 105.50 ft, the 132 ft to POB (0.32 AC) (Map 34/05S) (or 2329-680)
Property Tax ID #: 3403-502-0181-000-9
Site Plan Name: n/a
Project Name: STONE RESIDENCE
Setbacks Front 25" Back: 0
E DETAILED DESCRIPTION OF WORK:
Right Side: n/a Left Side. nla
Lot No. 99
Block No.
Install 105' of 6' Board on Board Wood on rear property line, cut in a 20' double swing gate on the left
side of the front of property in existing chain link fence, and do repairs of roll gate at the driveway area.
CONSTRUCTION INFORMATION:
Additional work toa nertormed under this permit— check all that appy:
HVAC Gas Tank Gas Piping Shutters D Windows/Doors
Electric 0 Plumbing Sprinklers I1 Generator El Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2475
Sq. Ft. of First Floor: _
Utilities: 0 Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Na me Stone, Tyler A_
Name: Floss A_ Chambers
Address: 3220 Daniels St
Company: Adron Fence Co
City: Ft. Pierce State: Fl
Zip Code: 34981 Fax:
Phone No. 772-631-8480
Address: 1132 NE 12th St
City: Okeechobee State: FI
Zip Code: 34972 Fax: 863763-8404
Phone No. 800-282-5172
E -Mail: n/a
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: adronfence@live.com
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:
ESIGNER/ENGINEER: Not ApplicableMOR
e:
GE COMPANY: _ Not Applicable
Name:
Addr s:
Address:
City: State:
Zip: Phone:
City: State:
Zip: P h o -he,
FEE SIMPLE T! HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 work or recording your Notice of Commencement.
0
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
as Agent for Owner Signg-ture of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me
this q day of 20 -LI—by
ROSS A. CHAMBERS
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known x
Type of Identification
Commission No. 10121118
Revised 07/15/2014
Ipced Identf4�qrF6 ,gr)i
�... Notary PubF-, - State of Floris
i = My Comm. Expires Oct 21, 20
(%mb)-nission # FF 150067
Q4:
Bonded Through National Notary k
The forgoing instrument was acknowledged before me
this 9 day of Ju"e 20 1.7 by
ROSS A. CHAMBERS
(Name of person acknowledging )
(Signature of Notary Public tate of Florida) Qaae•.s �s
u N ELAEDI
rsonally Known x �P used ldentificatiorPtate of �Florid:
2 ;. • =spires Oct 21, 20'
pe of Identification Pro �� � 1 •, •
I " F
Aon # FF 150
• mmission No. 110'21118E h National Notary or2rr�$ "� � (�ea!) _ y As,;
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
OKEECHOBEE VERO BEACH SEBRING JUPITER STUART BELLE GLADE FORT PIERCE
(863) 763-6255 (772) 562-0022 (863) 385-4493 (561) 744-1303 (772) 283-4540 (561) 924-3419 (772)465-3890
DATE_
JOB ADDRESS: 4
C CONTACT
PHONE:
MAILING ADDRESS: MOBILE:
EMAIL ADDRESS:
I.XvIf
JOB
DIRECTION&
PERMIT#:
L4
LINE POST
TERMINAL PeST
TOP[BRACEISOTTOM RAIL,:.
TENSION WIRE M/% -f-
BARBED WIRE
WALK GATE SIZE'S. --',�FRAME'
WALK GATE SIZE �RAME
WALK GATE POST
A(bP-I DRIV
GATEE
boSIZE Q -U
"!r N if --f "
-------------
CONCRZ�
'5-
uT Y;--? a ez+� o -57A,��4
FRAME / -7
AW0
4"ft ! r
r- GATE POSTA I
1;Y
DRIVE
GATE — SIZE FRAME
C--' FCOR E�TE
DRIVE GATE POST re-
(Adron Fence is not w4monsibie for being directed
to dig on top ofany unmarked sprinkler lines.)
CUSTOMER APPROVAL:
COST -- L 5 DEPOSIT IBALANCE04-7'
TERMS
THISPRICEEFFEC EUN-nL-5
PERSON�x,,
INSTALLED r^
CORE DRILLJASPHAI-T
PRORLINES CLEARED
PROP, NAARKS VISIBLE
SPECIAWNSTRUCTIONSO;�a�/' orow-i-er
L/
/9 1 jA P i 3 C.
STYLE FENCE
-90
YES
POOL CODES
-;' - 4,11
HEIGHT
-u
buc.-C, U
0 -I-
/ yam
HEIGHT �
FOOTAGE
10-5
savAGE
WIPE Z
LINE POST
TERMINAL PeST
TOP[BRACEISOTTOM RAIL,:.
TENSION WIRE M/% -f-
BARBED WIRE
WALK GATE SIZE'S. --',�FRAME'
WALK GATE SIZE �RAME
WALK GATE POST
A(bP-I DRIV
GATEE
boSIZE Q -U
"!r N if --f "
-------------
CONCRZ�
'5-
uT Y;--? a ez+� o -57A,��4
FRAME / -7
AW0
4"ft ! r
r- GATE POSTA I
1;Y
DRIVE
GATE — SIZE FRAME
C--' FCOR E�TE
DRIVE GATE POST re-
(Adron Fence is not w4monsibie for being directed
to dig on top ofany unmarked sprinkler lines.)
CUSTOMER APPROVAL:
COST -- L 5 DEPOSIT IBALANCE04-7'
TERMS
THISPRICEEFFEC EUN-nL-5
PERSON�x,,
INSTALLED r^
CORE DRILLJASPHAI-T
PRORLINES CLEARED
PROP, NAARKS VISIBLE
SPECIAWNSTRUCTIONSO;�a�/' orow-i-er
L/
/9 1 jA P i 3 C.
CONCRETE
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ADRON FENCE CO., INC.
OKEECHOBEE, FLORIDA .x4972-1:337
(800) 282-5172
nicole stone I DR"M BY: 6/9/2017 1SCALE: NONE I PAGE:
3220 darn cels street, , , fort pierce florida IREVISED: 6/9/2417 FILE: 1 of 1