HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Cl�UNTY
F r►;g;y D A —
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1S78
PERMIT TYPE: FENCE
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Address: 4284 Christensen Rd Fort Pierce, FL 34981
Property Tax ID #: 2432-423-0001-000-9
Site Plan Name: Klaesen
Project Name: Klaesen Fence
Commercial Residential x
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Remove & Replace Only - remove 165' of old 6' chain link fence and replace with 165' of new 6' galvanized chain link
fence and no gates.
[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 _ Generator Roof _ _ Pitch
Total Sq. Ft of Construction: 165'
Cost of Construction- $ 2408.00
Sq. Ft. of First Floor:
Utilities, __ Sewer _ Septic Building Neiohtt 6'
OWNER/LESSEE:
CONTRACTOR:
Name Gabriele Klaesen
Name: Ross A. Chambers
Address: 4286 Christensen Rd _ _
Company: Adron Fence _
City: Fort Pierce, FL State: _
Zip Code: 34981 _ Fax:_ _ _
Phone No. -
Address: 1132 NE 12th St.
City: Okeechobee State: FL
Zip Code: 34972 _ Fax: 863-763-8404 _
Phone No800-282-5172
_
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable I MORTGAGE COMPANY: X Not Applicable
Name:_
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:_ _
Zip: _ Phone:
Name:
Address:
City: State:
Zip: _ Phone:__
BONDING COMPANY: X Not Applicable
Name:_
Address:
City:__
Zip:
Phone:
A{U��rl� / /.�+ uT/\ /.TA 0% A ""NMI RT.
VWIVER/ 1,.V1A 1;1A% 1 VK AFr1Uv11 : 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:
i�iszdd (� 9
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 291h day of June 2021 by
this 29ih day of June 2021_ 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
Prodaed _
Pr ced
1ULIE SNELL
JULIE SNELL
(i na ure of N tart' Public- i ri u lit-StateotFo- r
(Si n tur of otary Pub c�, 1 f FIQrd i,' sio� 0GG 195811
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fioi n�?�19.
' My Comm, Expires Mar 13, 2022
mmission q GG 195877
CO insion No. GG1958. 8ondedthr L tionalNotaryAssn.
„ ii i 4�M •• My Comm. Expires Mar 13, 2022
C mmission No. GG1ssa77"'"9ondedag4National Notary Assn,
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