HomeMy WebLinkAboutBlandford Permit App DocsAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COO NT'Y
F L O R I D� J
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 Number:
Building Permit Application
Commercial Residential x
PERMIT TYPE: FENCE - pool barrier
PROPOSED IMPROVEMENT LOCATION:
Address. 4906 Buchanan Ft. Pierce, FL 34982
Property Tax ID #: 3402-602-0052-000-0
Site Plan Name: Blandford Fence
Project Name: Blandford Pool Fence
DETAILED DESCRIPTION OF WORK:
Lot No.7,8,9,10
Block No. 2
Install a total of 83' of 4' aluminum picket fencing along with two 4' wide walk gates as a pool barrier in conjunction with
JM Custom Pools - self closing hinges and childproof latches all to pool code.
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 83'
Cost of Construction: $ 5890.00
Sq. Ft. of First Floor:
Utilities: __ Sewer _ Septic
Windows/Doors
Roof
Building Height: 4'
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Melissa Blandford
Name: Ross A. Chambers
Address:4906 Buchanan
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: 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 �Z500 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Ap
Name:_
Address:
City: _
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:_
City: _
Zip: Phone:__
MORTGAGE COMPANY:
Name: _
Address: _
City:
Zip: _ Phone:,
BONDING COMPANY:
Name: _
Address:
City: _
Zip: _ Phone:
X Not Applicable
State:
X Not Applicable
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 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
s
p
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
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 21st day of May 2024 by
this 21st day of May 202�_ by
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
1.777,777 JutlE SHELL
;'o�P [9..
I 2 , , -��.
JULIESNELL
tc- a or
(Sig ure of Nota u io �4f omml sion # GG 195877
(Sin ure of Notary Public- Statff)
si
Commission#GG 1958
s?t8,tMyComm.Expires Mar 13,2022
>My
^�
Comm. u
Expires Mar 13,
Commission No. 0019587 ",°"Bondedthrdtsj"6 tionalNotaryAssn.
Commission No. CC195877
rough National Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. Z/7/19
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 ViRGiNIA AVE
FORT PiERCE, FL 34981
(772) 462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT #
i (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
4906 Buchanan Ft. Pierce, FL and hereby affirm that one of the following methods
(Please print street address)
will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
RACThe pool will be isolated fi om access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
RAC The pool will be c ui ed with an approved sate[ pool cover that complies with ASTM F 1246-91 Standard Performance Specifications for
P q PP PP Y P P i P
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
RAC
All doors and windows providing direct access from the home to die pool will be equipped with an exit alarm that has a minimum sound
pressure rating of 85decibels at 10 feet.
RAC
All doors providing direct access from the home to the pool will be equipped with selfelosing, sel Hatching devices with release mechanisms
placed no lower than 54 inches above the floor or deck.
I understand that not having one of the above installed at the time of final inspection, or when the pool is completed for contract
purposes, will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of the second degree,
punishable by fines up to $500.00 and/or up to 60 days in jail as established in chapter 775, F.S.
I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the
above protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized.
I, the contracto •ee to i the owner of the proper use and maintenance of such safety device.
C NTRACTOR Si NATURE OWNER SIGNATURE
S E O FLORIDA, COUNTY OF Okeechobee
N T1RY PUBLIC
The foregoing instrument was acknowledged before me
21 st y
this day of a
by Ross A. Chambers
Personally Known X or Produced Identification
STATE OF FLORIDA, COUNTY OF
NOTARY PUDLiC
The foregoing instrument was acknowledged before me
20 2 this day of
by
20
Personally Known or Produced Identification
Type of Ide if¢ ' ioiy;Produced:l Type of Identification produced:
Notary Public - State of Florida
a� Commission # GG 195877
My Comm. Expires Mar 13, 2022
Bonded through National Notary Assn.
SLCPDS Revised 07/22/2014