HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/5i2021
COUNTY
F L Q R 1 D A
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
PERMIT TYPE: FENCE
PROPOSED IMPROVEMENT LOCATION:
Address: 5103 E Echo Pines Circle Fort Pierce, FL 34951
Property Tax ID #: 1312-801-0206-000-4
Site Plan Name: Race
Project Name: Race Fence
erltial x
Lot No._
Block No.
I DETAILED DESCRIPTION OF WORK: i
Install a total of 116' of 4' tall black vinyl chain link fence, with one 3' wide single swing gate and one 6' wide double gate.
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical — Gas Tank — Gas Piping _ Shutters
Electric _ Plumbing __ Sprinklers
Total Sq. Ft of Construction: 116'
Cost of Construction: $ 2420.00
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: __ Sewer — Septic Building Height: 4
OWNER/LESSEE:
CONTRACTOR:
Name Robert C Race
Name: Ross A. Chamber
Company: Adron Fence
p y'—
Address: 1132 NE 12th
City: Okeechobee
Zip Code: 34972
Phone No 800-282-517
E-Maillulie(gadronfenc
State or County License
Address: 5103 E Echo Pines Circle _
— — —
— —
City: Fort Pierce, FL _ State: _
Zip Code: 34951— — Fax:_ — —
Phone No. -
St.
State: FL
_ Fax: 863-763-8404 _
_ _—
E-Mail: -
_ _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
.com
18971 _—
It value of construction is �Z500 or more, a RECORDED Notice of Commencement is rec
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
Name:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: _ Phone:
X Not Applicable
Address:
City: State:
Zip: _ Phone_ _
_State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY
Name:
Address:
City:
Zip: __ Phone:
X Not Applicable
_
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVI I : 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,
acce9con, structures swimming nnnlc fonrac malls sion� screen rooms and accessory uses to another non-residential use
r structures, „b r....., , ,...b ,.. 1 "
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEME T 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 FINA YCINC, CONSULT
WITH YOUR LENDER OR AN A*ORNEY BEFORE RECORDING YOUR NOTICE OF C,OMMENCEMEN't" /
ko.".
Signature of Owner/ Lessee Con ractor as Agent for Owner
Signature of Contractor/L
sense 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 5th day of July 2021 by
this 5th day of July
2021_ by
ROSS A, CHAMBERS
ROSS A. CHAMBERS
_
Name of person making statement.
Name of person making s
atement.
Personally Known X Produced Identification
Personally Known X
OR Produced Identification
—OR _
Type of Identification
Type of Identification
Produced
Produced
v %. JULIE SNELL
_
iiv'ry,, JULIE SNELL
Si ture of Notary tk to oflft fa #GG 195877
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Si nature of Notary Pu
8f Flc4!Wa+sion#GG 195877
+,'Fr,
of Fin?: My Comm. Expires Mar 13, 2022
vu�,' My Comm. Expires Mar 13, 2022
Commission No. GG19 Banded through atio al Notary Assn.
Commission No. GG195877�
8ondedthro onalNotaryAssn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/ 19