HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -Ih30 r Permit Number:
COUNTY
F L n R 1 r
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
PERMIT TYPE: FENCE
PROPOSED IMPROVEMENT LOCATION:
Address: 8306 Coquina AVE Fort Pierce, FL 34951
Property Tax ID #: 1301-608-0107-000-3
Site Plan Name: Carter Fence
Project Name: Carter Fence
Commercial Residential x
No 3, 4
k No. 92
I DETAILED DESCRIPTION OF WORK: I
Install a total of 191' of 4' black vinyl chain link fence with (2) 4' wide walk gates.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction: 191,
Cost of Construction: $ 4445.00 _
Sprinklers _ Generator
Sq. Ft. of First Floor: _
Windows/Doors
Roof _ _ Pitch
Utilities: __ Sewer _ Septic Building Hei0ht: 4'
OWNER/LESSEE:
CONTRACTOR:
Name Travis C Carter_
Name: Ross A. Chambers
Address: 8306 Coquina AVE Fort Pierce, FL 34951 _
Company: Adron Fence
Address: 1132 NE 12th St.
City: Okeechobee
City: Fort Pierce, FL _ State: _
Zip Code: 34951_ _ Fax:_ _ _
Phone No. -
State: FL
63-8404 —
Zip Code: 34972 _ Fax: 863-
Phone No 800-282-5172
E-Mail Julie(gadronfence.com
State or County License 18971
_ _
E-Mail: -
_ _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
It 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.
DESIGNER ENGINEER: X_ Not Applicable I MORTGAGE COMPANY: X Not Applicable —
Name: r Name:
Address:_ _ _ Address: _
City: _ State: City: _ --State:�_
Zip: Phone Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:_
Address:
City:
Zip: _
Phone:
BONDING COMPANY: X Not Applicable
Narne:_
Address:
City:_
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.
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 �njith the approved plans, the Florida Building Cnrlac 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 BE"E THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCINGP CONSULT
WITH YOUR LENDER OR AN ATYORNEz'tf''BEFORE RECORDING YOUR NOTICEOF COMMENCEMENJ.�"
Signature 'oT04vrier/ essee
tractor as Agent for Owner
Signature of Contractor/License der
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 13th day of July
2021 by
this 13th day of July 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
Produced_
Produced
00
— —..,
"% -., JULIESNELL
' • ��• . Ngtary Public - State of Florida
`
-.: JULIE SNELL
?'s rp Commis�ir n u rr , [156"
l na ure f otary ic- St
e f i€da commission A GG 1958/7
a I at re o ota ic- S t ii'f!.1t5rl amm. Expires Mar 13, 2022
Bon ed through National
My Comm. Expires Mar 13, 2(
2 Notary Ass
Commission No. GG195977
Bor dAgoughNationalNotaryAs
mmisSlon No. GG195877 (Sea )
7
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ZONING
SUPERVISOR
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19