HomeMy WebLinkAboutErricoSmith AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
S t LLcLL -�
Ir - = 1 r t� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 6105 Pinetree Dr.
Property Tax ID #: 3402-603-0166-000-5
Site Plan Name: Errico-Smith Fence
Project Name: Errico-Smith Fence
Lot N0.42,43
Block No. 11
I DETAILED DESCRIPTION OF WORK: I
Install 322' total of 4' galvanized chain link fence to property along with one 14' double gate.
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 322'
Cost of Construction: $ 3788.00
Generator _ Roof
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height: 4'
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Anita Errico-Smith
Name: Ross A. Chambers
Address:6105 Pinetree 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: 8637638404
Phone N08002825172
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maillulie@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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 Counttyy 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorr)6 before commencing work or recording vour-Notice of CoKmancement.
i
Sign2fture of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/LicenseT461der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Oka ,hob..
COUNTY OFokeechobee
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
a Physical Presence or Online Notarization
_ Physical Presence or _ Online Notarization
this 1m day of AM' 2020 by
this 19th day of APd 2021 by
Rosa A. Chambers
Roes A. Chambers
Name of person making statement.
Name of person making statement.
Personally Known a OR Produced Identification
Personally Known a OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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( 6 rY
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i ) JULIE SNELL
Commission a GG 195877
Commission No. GGIQW77 ' o •'•`••' Ca6eaE�pires
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1 • Notary Public • State of Florida
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