HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INF:O IvlusT BE COMPLETED FOR APPLICATION TO BE ACCEPTE
Date:Permit Nu'mber:
Building permit Apdlication
Planning and De`ielopment Services
Building and Code Regulation Division
2300 Virginia kverlue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: FENCE
PROPOSED IMPROVEMENT LOCATION:
Address: 6815 Wadsworth Terraoe Port St. Lucie, FL
Property Tax lD #:3415-705-0032-000-0
Site Plan Name: Burke Fence
Lot No. 31
Block No. 1
Project Name:Burke Fence
DETAILED DESCRIPTION OF WORK:
of 4' Hanover PVC fenoe to property. I+ i
orth Side, r`,A ar`oDf>r-+` -
CONSTRUCTION INFORMATION:
Additional `j`,.ork to be performed under this permit -check a!! that app!`,J:
Mechanical Gas Tank _ Gas piping Shutterd Windows/Doors
Electric Plumbing _ Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: S
Sq. Ft. of First Floor=
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:CONTRACTOR:iiiiiiiiiiiiiiiiiiiiiiiiiiiiii
Name Fiobert Burke Name: Ross A. Cha hbers
Address: 6815 Wadsworth Terrace Com an .Adron F bnce
cit`,,: Port st Lllcle State:^JJrd...1132 NE 12th St
City: OkeechobeeZipCode:3497?state: FLZip code: Fax:
Fax: 863-763-84o4Phone No.
E-Mail:Phone No BOO-282+5172
Flll in fee 5lmple Title Holder on next page ( if differerf E-MaHjulie.adronfdnce@aol.com
State or County Lidense 18971from the O`A/her listed above)
lf value of construction is SZ500 or more, a RECORDED Notice of Commencement is ret|uired.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is requiredl
SUPPLEMENTAL CONSTRUCTloN LIEN LAW INFORMATION:
DESIGNER/ENGINEER: jL Not Applicable
Name:
Address:
State:
MORTGAGE CO
Name:
PANY: _ Not Applicable
Address:
State:I Zip; Phor,e Zip: PhoT,e;
FEE SIMPLETITLE lloLDER: _NotApplicable B0NDING COMP ANY: _Not Applicable
Name:Name:
Address:Address:City:
City,
Zip: Phone:zip: Phone:
O`,A,'NEP`,/ CONTFACTOP` AFF!D`.'!T: App!ic3ticn is hereb`,' rr:ade tc cb{e!n a permitI to do the `,..'ork and !nsta!!at!on as indicated.
I certify that no work or lnstallatlon has commenced prior to the issuance of a permit,
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The following building permit applications are exempt from undergolng a full concurrenty revi.ew: room addltlons,
|| accessory structures, swimminR pools, fences, walls, signs. screen rooms and accessory uses to another non-residentlal use 11
"w^mlNc TO OwNERI youR FAILURE TO REcorm A NOTicE OF cOMMEndEMERT M^y REsuLT IN YOUR PAYING
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stgFiafure of Owner/ Lessee/Co-ntractor as Agent for Ctwner Signature 6-f ContractorAicenfe Holder
STATE 0F FLORIDA STATE OF FLORIDA
COUI\ITY OF okeechobee COUNTY OF Ckeechd)ee
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisj| day of Augustq . 2oj| by this±day of Aug`dst . 20jf by
Rces A Cinarnbers RoesA Ctiambers
Name of person making statement.Name of person making statement.
Personally Known x OB produced Identification Personally Known -OR Produced Identification
Type of ldentlflcatlon Type of ldentiflcatlon
Produced Produced
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