HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
COUNTY
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: 6014 PAPAYA DR FORT PIERCE, FL 34982
Property Tax ID #: 3402-610-0581-000-2
Site Plan Name: Gehrig Fence
Project Name: Gehrig Fence
DETAILED DESCRIPTION OF WORK:
Install 202' of 6' white longue and groove PVC fence, one 3' walk gate and one 5' walk gate.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 202'
Cost of Construction: $ 5,801.00
_ Generator
Sq. Ft. of First Floor:
Lot No. t3
Block No. 89
Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Gehrig
Name: Ross A. Chambers
Address:2902 Serenity Circle S.
Company:Adron Fence
City: Fort Pierce State: F1
Zip Code: 34981 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:
Signature of Contractor/License Holder
DESIGNER/ENGINEER:
Name:
X Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
The forgoing instrument was acknowledged before me
Address
this stn day of July 2020 by
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER!
Name:
X_ Not Applicable
BONDING COMPANY:
Name:
X Not Applicable
Address:
Produced
Address;
(Sig tU o NOaiullic-5 t ri ry public - State of Florida
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City:
,y Commission # GG 195877
Commission No. GG195877 •'ala n! k)I. Expires Mar 13, 2022
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City:
tland through Notary Assn
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Zip: Phone:
Zip: Phone:
FRONT
OWNER/ CONTRACTOR AFFIDVR: 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 BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.';
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Signature of Owner Lessee Con ractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 9th day of 3a1Y . 2020 by
this stn day of July 2020 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
(SI ature of Notary Public- n a JULIE
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(Sig tU o NOaiullic-5 t ri ry public - State of Florida
r
• Notary
' ;�`t•! Nota Public -state of Florida'
COmmIS510n N0. GG185877 :.,: •,J (%*i5stonaGG195877
,y Commission # GG 195877
Commission No. GG195877 •'ala n! k)I. Expires Mar 13, 2022
,.....,....,
,!,q i,�f::' My Comm.Expires Mar 13, 2022
tland through Notary Assn
9 Y
Banded through National Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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