HomeMy WebLinkAboutLane Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/12/2021
COUNTY
F L O R! C
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: FENCE
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Address: 8305 Coquina AVE Fort Pierce, FL 34951
Property Tax ID #: 1301-608-0099-000-3
Site Plan Name: Lane Fence
Project Name: Lane Fence
Commercial Residential x
DETAILED DESCRIPTION OF WORK:
Install 63' total of white PVC tongue and groove privacy fence. 38' will be 6' tall and 25' will be 4' tall.
CONSTRUCTION INFORMATION:
Lot No.25
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: 63'
Cost of Construction: $ 2256.00
Sq. Ft. of First Floor: 63'
Utilities: __ Sewer _ Septic Building Height: 4' & 6'
OWNERAESSEE:
CONTRACTOR:
Name Delores P Lane_
Name: Ross A. Chambers
Address: 8305 Coquina AVE
Company: Adron Fence
_
City: Fort Pierce, _ State:
Zip Code: 34951_ _ 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.
DESIGNE
Name:_
Address:
City:
Zip:
of Anulica
State:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:_
City:__
Zip: _ Phone:_
MORTGAGE COMPANY:
Name:
Address:
City:
X Not Applicable
Zip: Phone:
State:
Not Applicable I BONDING COMPANY: X Not Applicable
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
TWICE FOR IMPROVEMENTS TO YPPR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE EHE FIRST INSPECTION. IF YOU INTEND TfiA1N A�IC�I11G, CONSULT
WITH YO LENDER OR AT EY BEFORE RECORDING YOUR NOTIf DF C E M "
Si nature o Owner/ Lessee/Contractor as Agent for Owner
Signat re of Contrac r icen Ho der
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 12th day of March _, 2020 by
this �nh day of March 2020 by
ROSS A. CHAMBERS
: `ice's:_
ROSS A. CHAMBERS
Name of person making statement.
Name of person making statement.
Personally Known _x OR Produced I
igcatPn
Personally Known X OR Produced Id tii="�
Type of Identification
a
Type of Identification p �H•.
Produced
S 33,
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(Sign ure of Notary Public- State of Florid
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(Signa re of Notary Public- State of Florida)
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Commission No. GGI%877 (5
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Commission No. GG195877 (Seal)
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y O y
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/ 19