HomeMy WebLinkAboutcorrected building permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
S J
•
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: 3411 S. Indian River Dr. Fort Pierce, FL 34982
Property Tax ID #: 2426-502-0007-000-4
Site Plan Name: Yeschek Yard Fence
Project Name: Yeschek Yard Fence
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Install 11l' of 4' white aluminum fence with one T gate and one 14' gate - also install 921' of 4' black vinyl chain link fence
with one 20' gate to property. Not pool barrier.
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 Pitch
Total Sq. Ft of Construction: 1032'
Cost of Construction: $ 14,836
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height: 4�
OWNER/LESSEE:
CONTRACTOR:
Name David Yeschek
Name: Ross A. Chambers
Address:3411 S. Indian River Dr.
Company:Adron Fence
City: Ft. Pierce State:
Zip Code: 34982 Fax:
Phone No. -
Address: 1132 NE 12th St.
City: Okeechobee State: FL
Zip Code: 34972 Fax: 863-763-8404
Phone No800-282-5172
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:
Not ADolicable I mnRTrarjF rQMDANv. X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable J BONDING COMPANY: X Not Applicable
Address:
City:
Zip: Phone:
Name:
Address:
City:
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
TIYICE FOR IMPROYEMENTS 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"
Signature of Owner/ lessee/Contra or as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STA T E OF FLORIDA
COUNTY OF OKEECHOBEE
COUNTY OF OKEECROSEE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 131h day of Jab 202o by
this iath day of Jury 202 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
gnature of Notary Public- NOfa Puhlic-State of Florida
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Rev.2/7/19