HomeMy WebLinkAboutBuilding Permit Application ALL APPUCABL?FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )
,Date: Permit Number:
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Building Permit Appli.cati n AUG 06 2018
Planning.and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,. Pierce FL 34982 Permitting Department
Phone:(772)462-1553 Fax:(772)462-1578 Commercial. IC�jI l ^�,
FL
PERMIT APPLICATION FOR: Fence
PR'OFOSED:IMPROVEMENT LOCATI.ON.:
Address: 9304 Nature's Way Ft. Pierce, FL 34945
Legal Description: PALM BREEZES CLUB(PB'49-32)BLK 8 LOT 4(OR 2957-1997)
Property Tax ID#: 2-31.0-500-C1,,50-000-9 Lot No.
Site Plan Name: Burns Block,No.
Project;Name: Burns'Fence
Setbacks Front Back: Right Side: Left-Side:
DETAILED DESCRIPTION.OF°1NORK• ,"
Install 140' of 6' shadow box wooden fence and two 5'walk gates.
i; ,.•
.CONSTRUCTION fkFC>RMATION
itiona .wo.r, to e nertormed under tispermit—check a appy:
HVAC Gas Tank EJGas Piping Shutters Q Windows Doors
Electric 0 Plumbing ❑sprinklers F�Generator F�Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost.of Construction:$ 3732 Utilities:0Sewer aSeptic Building Height:
OWNER%LESSEE CONTRACTOR
Name Simmie-Bums Name: Ross A.Chambers
Address:9304 Nature's Way Company:.Adron Fence
City: Ft. Pierce. State:_ Address: 1132•;NE 12th St.
ZipCode: 34945 Fax: City: Okeechobee State:FL
Phone No.7727971=5898 Zip Code: 34972 Fax:
E-Mail-: Phone No: 800-282-5172
Fill in fee siMple-Title Holder on next page(.if different E-Mail: julie.adronfence@aol.com,
from the owner listed above) State or County License: 18979
If value of construction is$2500 or more,a RECORDED Notice-of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION ju ,
DESIGNER/ENGINEER: _-Not Applicable MORTGAGE COMPANY: Not Applicable
Name:•9i�::= Name:-^---=�-=�
Address: Address:-e
City: - State: City: �- State:
Zip: Phone Zip: Rhone:
FEE SIMPLE TITLE HOLDER: .L Not:Applicable BONDING COMPANY: ,X_ _Not Applicable
Name: Name:
Address Vis+- Address:
City: 'City:
Zip: Phone: Zip: Phone;
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain.a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie,Countv makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that fray 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 h"ereby:agree that I will,.in all respects,perform the work
In accordance with the•approved plans,the Florida Building Codes abd 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 thefirst inspection. If you intend,to obtain financing, consult with lender or an attorney,before
-commencin `work or recordin vour Notice of Commencement.
`Signature of Owner Lessee/Contractor as Agent for Owner Signature ofZontractor/License.Holder
STATE OFFLORIDA STATEOF FLORIDA
COUNTY-OF. d(ee 'hobee- COUNTY OF` ctwe ep_
The forgoing instr Ment was acknowledged.b fore me The forgoing instr merit was.acknowledged`before me
this-day-of�(1[ IS+ 20�by this_La
day of .20•1%by
.�rJSs ,�
Name of person making statement Name of person making-statement
Personally Known _OR Produced Identification Personally Known _OR Produced Identification
Type of Identification Type of Identification
Produced Produced
of (IihI2 :IQIV
(SignatuVn'No.
f Notary Public-State.-of Florida.) (Signat a of Notary Public-State of Florida)
Commis a ' (SMESNELL Commis on No., Y,r ti (Seal)'JULIE SNELL
Notary Public-StatebfFlorida ' 1 x Nvtary.Public=State ofFiviid
1”a= Commission 9 GG 1998!1 A Commis;ion a GG 19587/
"!rrn 11d�. My.Comm.Expires Mar 13;2!)22 4'.?q,µK?' My.Comm.ExpfresMar 13,302
Bon ed through Na Iona)Notary Assn 8oride t r ug Nations Notary s.n,
REVIEWS FRO PLANS VEGETATION G.
COUNTER REVIEW REVIEW RE-VIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17