HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
-�T
R ABuilding 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: 5217 Armina PI Ft. Pierce, FL 34951
Property Tax ID#: 1311-700-0200-000-9 Lot No.56
Site Plan Name: Bo Brown Fence Block No. 3
Project Name: Bo Brown Fence
DET[ AI:E: DESCRIPTION OF WORK:
Install 129'of 6'white PVC fence with(1)6/wide gate. Install 47'of white aluminum 2 rail fence with one 4'gate. Total
square feet is 176'installed new fencing,
FcONiTRUCTION INFORMATION:
Additionai work to ire performed under this permit—check all that apply:
II _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
ii
_ Electric _Plumbing Sprinklers _Generator Roof Pitch176
iv�ai may. ri�i �vinuu�uvi)._ _ may. ri.vi ru�L n�C).
Cost of Construction: $ 6545.00 _ Utilities: Sewer _Septic Building Height: 4_, 6' _ II
(I OWNER/LESSEE: CONTRACTOR: mh^fr tl
�I Address:5217 Armina Place _ _ Company:Adron Fence r'..-i n,,..,,,. 4407 AIC 4f)lL. QL
III CITY: vi L n ici-- State: � � Address: i i 0� i�l i c.0 i mot.
Zip Code: 34951_ _ Fax:_ _ _ City: Okeechobee _ n^^ State: FL II
III Phone No. - _ I Zip Code: 0401 _ Fax:
I I
E-Mall: - _ _ Phone NO
Fill in fee simple Title Holder on next page(if different F-Mail Julie@adronfe!nce.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.
II If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
I! OI
II II
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address:_ _ Address: — I
st a't e I ritV �t?tP:II I rite/. _-___.
Zip: Phone Zip: _ Phone:__
,.,..�. �.�._ MCI r.-� v .._. ........_^....� V ., , . r. r r III
III IF E '3 VIPLE I I ILE rlULucK: " fvUt Hp�liirelUie I tSUIVUIIVU IUIWY/►IVY: ^ IVUt HppIICdUIe
Address: Address:
City: _ City:
Zip: Phone: 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.
IISt. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure II
which is in conflict with anv applicable Home Owners Assoaation 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 rr% �.pnnVrururc rn YO In nnnnrnTY • NOTICE OF rOluur�Cr�r�Zr uUS�r $€ R,r=nnn€D �%q)
■r 1.\..L ■V. ■f. .%V L I\ S ■V ■V UR r IM CA. ■. A ..V K ..- .uv< LI LI .q G VM_ v.
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR 4N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEIW27
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
II COUNTY OF OKEECHOBEE COUNTY OF OKEECH08EE
The fnrgning inatntmpnt wat arknnwlpdgpd hpfnrp me I Thp fnrgning instriimPnt was arknnwlpdgpd hpfnrp mp
II this 12th day of May 2020 by I this lzth day of May 2020 by I II
ROSS A.CHAMBERS ROSS A.CHAMBERS
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification_ Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
,,, sHEI�;AIEI t
(Sig a ure of Notary Public 5. : ,} �,._oNOW)Public-State of Florida nature of Notary Public-Sta q�* , a 1 public-State ofFlori a
Commission p GG 195877 `. Notary
Commission#GG 195877
GG195877 9p!��° ' M Expires Mar 13,2022 y, ° mm.Expires Mar 13,2 2
Commission No. Commission No. GG195877 r„� .?(${+�g ss
Bonded rout h National Notary Assn, Bonded through National Notary
II I RCVICVVS I FROM I LVIVIIVV I SUPERVISOR I rLAIvS I VCUCIAIIVIV I SEA TURTLE I IVII.1N"nuVE I II COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ReV. 2/7/19
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