HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
J4 J1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division (n e- i brio_— q3
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential FENCE
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION':
Address: 4554 N A1A, Ft. Pierce, Fla 34949
Legal Description: Ocean View Estates, Lot 4(OR 3096-377:3699-1458
Property Tax ID#: 1414-703-0004-000-0 Lot No.4
Site Plan Name: LEAL Block No.
Project Name: LEAL
Setbacks Front 73 Back: 262' Right Side: 0 Left Side: 0
DETAILED DESCRIPTION-OF WORK:
INSTALL 213' OF 4' BLACK VINYL CHAIN LINK FENCE AT REAR OF PROPFRTV u1 �G,
CA-pF5 5 � DW A/GHT.S f t> � ��"/ : o A) �i� 51 D G
-6 e0cle _q® ; n3 . a^-I-e
CONSTRUCTION INFORMATION:, Y
Additional work to be performed under this permit—check a app y:
E1HVAC Gas Tank Gas Piping Shutters a Windows/Doors
❑Electric ❑ Plumbing Sprinklers OGenerator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2903 Utilities:11Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name LEAL One C LLC Name: Ross A.Chambers
Address:5601 Highway A1A Apt S105 Company: Adron Fence co
City: Vero Beach State:Fl Address: 1132 NE 12th St
Zip Code: 32963 Fax: City: Okeechobee State:FL
Phone No.305-336-0881 Zip Code: 34972 Fax: 863-763-8404
E-Mail:edlea1001@gmail.com Phone No. 800-282-5172
Fill in fee simple Title Holder on next page(if different E-Mail: adronfence@live.com
from the Owner listed above) State or County License: 18971
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:.
D IGNER/ENGINEER: _Not Applicable M RTGAGE COMPANY: _Not Applicable
Na Nam
Addres . Addre
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITL OLDER: _Not Applicable BONDING CO ANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
d s
SignaWfe of Owner/Lessee/Contractor as Agent for Owner Sign ure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF OKEECHOBEE COUNTY OF OKEECHOBEE
The for oing instr nt was acknowledged before me The forgoing instrument was acknowledged before me
this f3 day of 20/l by this 24 day of FEBRUARY 20 ( by
ROSS A.CHAMBIRS ROSS A.CHAMBERS
(Name of person acknowledging) (Name.X person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Prod Type of Iden"
` � DOREEN ELARDI
Pnra�. DOREEIJI€ PRDI osaavv�a�,'�
Commission No. ?2. �; SS®� Publ t mission c Notary Publ;c-Sta Gqa rida
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1p �� r' K•_ My Comm. ��� t�11� 1g -N; ;'= YComm.Expires Oct 21.2018
rF o� Commission #FF 150067
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Bonded Th(4 one rough National Notary Assn.
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Revised 07/15/201�=�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW'
DATE
COMPLETE I
INITIALS, 9