HomeMy WebLinkAboutRussell Permit ApplicationAll APPLICABLE INFO 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
PERMITTYPE: FENCE
PROPOSED IMPROVEMENT LOCATION:
Address: 1405 Platts LN Fort Pierce, FL 34982
Property Tax ID #: 2433-501-0005-000-9
Site Plan Name: Russell
Project Name: Russell Fence
DETAILED DESCRIPTION OF WORK:
Install 364' of 5' black vinyl chain link fence to property, 2 walk gates, 1 double gate.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 364'
Cost of Construction: $ 5,367
—Gas Piping
_ Sprinklers
_ Shutters
Generator
Sq. Ft. of First Floor:_
Utilities: -Sewer _Septic
Lot No.5
Block No.
Windows/Doors
Roof
Building Height: 5'
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Timothy G Russell Jr
Name: Ross A. Chambers
Address: 1405 Platts LN
Company: Adron Fence
City: Fort Pierce State: rL
Zip Code: 34982 Fax:
Phone No. -
Address: 1132 NE 12th St.
City: Okeechobee State: FL
Zip Code: 34972 Fax: 863-763-8404
Phone No 800-282-5172
E-mail; -
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail Julie@adronfence.com
State or County License 18971
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATIrORNEY BEFORE RECORDING YOUR NOTICE OF CO EMENT."
Rev. Z/7/19
Signature of Contractor License o der
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF oi@ECHoaEE
COUNTY OF OIcEEOHOaEE
The forgoing instrument was acknowledged before me
The forgoing Instrument was acknowledged before me
this lith day of 1fty 2020 by
this 11th day of Mar
. 20_:LO_ by
ROSS A. CHAMBERS
ROSS A. CHAMBERS
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of taryPublic-
. JULIESNELL
(Signatur o Notary -
q ori a JULIESNELL
.titx��'i&, IN
' 1 1[ Diary Public IF Florida
gl '1 f`+. Notary Public of Florida
GGt95877
Commission No. •. .,; 7Qjm.ion x GG 195877
`'•'?1N Mar 13.2022.,
Commission No. Gclasen y•
Co nYGG 195877
ar
My C m. res Mar 13, 2022
11�!��' My Comm. Expires
,y „d!A' oln-
...........
Bonded through National Notary Assn.
Bonded through Natiawl Notary Azsn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. Z/7/19