HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
_ .. .,� .. 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: 7507 Citrus Park Blvd. Ft. Pierce, FL 34951
Property Tax ID#: 1301-607-0024-000-4 Lot No.24
Site Plan Name: DigloriaFence Block No. 70
Project Name: Digloria Fence _
DETAILED DESCRIPTION OF WORK:
Install total of 263'of 6' black vinyl chain link fence with two 5'wide walk gates.
CONSTRUCTION INFORMATION:
iiA00itionai work to be periorrned under this permit—cneck all i=nat apply:—Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors it
Electric _Plumbing Sprinklers _
Generator Roof _ _ Pitch
Jl{• FL. VI I Irst Floor;
ii
IICost of Construction: $ 5604.00 _ Utilities: --Sewer _Septic Building Height: 6'
IIOWNER/LESSEE: CONTRACTOR:
00-0 n, r-t, ^'��T�
NdrTle:_
it Address:7507 Citrus Park Blvd. _ _ company:Adron Fence
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iiI City: State: �L Address:
Zip Code: 34951_ _ Fax: _ _ City: Okeechobee State:FL it
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I� I Phone No. - _ -- I up Locle: 34S72 Fax: )G3-703-0-uY I I
E-Mail: - Phone No8u0-ZoZ-5i7Z
Fill in fee simple Title Holder on next page( if different E-Mail Julie@adronfence.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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
li I Nria+,m,.e: 1AN1^di+vdm•r ee:s s:Address:
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11 Zip: Phone_ Zip:_ _ Phone:_ _
II I FEE SnvrLE T1TL E HOLDER:
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ivoi%*,ppiicarJie I isUiMuiivu iuiviri►ivii: n ivoi Applicable
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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 (I
which is in conflict with anv aoollcable Home Owners Association rules; bvlaws 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
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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 COMMENCEME ."
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 OKEECHOBEE
ThP fnrenine instrument wac arknnwlPdePd hafnrP mP I ThP fnrPning inctnlmPnt as arknn IPH art haf rP mp I II W W A n
(I I this tnr, day of may 2020 by I this 12, day of May 202o by I �'
ROSS A.CHAMBERS ROSS A.CHAMBERS
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Ide ification Personally Known X OR Produ I ntification
Type of Identifica 'on Type of I ntificati n
Produ a Produ( d
7/7
(Sin ture o Notary Publi Spa -�'FI rida } JULIESNELL (sig re otary Pu lic-.fit f FloridgllESNELL
1.'rl Notary Public-State of Florida MI .
h Notary Public-State of Florida
J ;, m ssion N GG 195877 ;{ ComrqIgGG 195877
C mission No. GG195877 .,.� My�.Expires Mar 13,202Z Co fission No. oG�ssai •' MyComrtl. xplr s Mar 13,2022
Bonded through National Notary Assn, Bonded through National Notary Assn.
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COUNTER I REVIEW I REVIEW I REVIEW I REVIEW I REVIEW I REVIEW II
DATE
RECEIVED
DATE
COMPLETED
iev. 2/7/19
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