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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: OA130
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 TYPE: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 246 Bimini Dr. Fort Pierce, FL 34946
Property Tax ID #: 1425-701-0049-OOb-5
Site Plan Name: Hinkle
Project Name: Hinkle Fence
Lot No.9
Block No. 3
DETAILED DESCRIPTION OF WORK:
Install 41' of 4' PVC fence, one 6' walk gate and one T walk gate. Install 28' of 4' aluminum fence with one 12' double drive
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit — check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 4,148 Utilities: _Sewer _Septic Building Height:_
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Donald Hinkle
Name: Ross A. Chambers
Address:219 Hunt Ave.
Company, Adron Fence
City: Fort Pierce State: FL..
Zip Code: 34946 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: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable
BONDING COMPANY: Not Applicable
Name:
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 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 -PE RECORDED AND
POSTED ON THE JOB SITE BEF9PE THE FIRST INSPECTION. IF YOU IN END TO BT ANCING, CONSULT
WITH YOUR LE ER OR A NEY BEFORE RECORDING YOUR OF ENT:'
Ar
Sigatyffof Owner/ Lessee/Contractor as Agent for Owner
Signa re of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Okeechobee
COUNTY OF Okeechobee
The forgoing instrument was acknowledge before me
The forgoing instrument was acknowledged before me
this 23ra day of December .20J9by
this 23ra day of toe ember 20 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
(Signatw a Notary Pu 33r9kviria 1
JULIESNELL
GG1958 NOla1
Commission N0. �1� is `. y"* State of Florlda
COMMIssion 0 GG 195877
My Comm. Expires Mar 13,2022
(Signatu e f otary Pu ic-
Commission No. G0195877
F r'
i'�vhELL
;.f . �f``s IQ&e�k{ubllcE -State of Florida
;�y Ar; Commission a GG 195877
•�...... •� My Comm. Expires Mar 13,2022
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