HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I -'I`1 ��")i Permit Num6er:
q
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: 2105 Bell Ave. Fort Pierce, FL 34982
Property Tax ID #: 2433-221-0002-000-9
Lot
No.��
Site Plan Name: Porcena Fence 1 of 2
Block
No. _
Project Name: Porcena Fence 1 of 2
_
DETAILED DESCRIPTION OF WORK:
Install a total of 87' of 4' black aluminum A -series fencing with one 12' wide gate.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction: 87'
Cost of Construction: $ 2499.00
_ Gas Piping _ Shutters _ Windows/Doors
Sprinklers
_ Generator _ Roof Pitch
Sq. Ft. of First Floor+ 87'
f
Utilities: —Sewer _ S Ptic Building Height: 4
OWNERAESSEE: i
CONTRACTOR:
Name Eddy Porcena
Name: Ross A. ChaFInbe.rs
Address: 2105 Bell Ave. _
Company: Adron Fence
Address: 1132 NE 12th St.
City: Okeechobee
_
City: Fort Pierce, FL State: —
Zip Code: 34982 _ Fax:,
Phone No. -
State: FL
63-8404
Zip Code: 34972 Fax: 863
Phone No800-282-5172
E-Mail Julie@adronfence.com
State or County License 18971
_
E-Mail: -
_
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
1r value or construction is 5xsvo or more, a KEWHOEV Notice or commencement is requires.
If value of HVAC is $7,500 or more, a RECORDED Nance of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State;
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Ne+ Applieable
BONDING COMM! X Not Applicable
Name:
Name.
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.
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 Assouation 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-resiclential 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 II NSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE ENT."
I
Signature of Qwner/ Lessee/Contractor as Agent for Owner
5ignature of Contractor/license Hol er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
COUNTY OF OKEECHOULL
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this I9th day of JuN 2021 by
this 19th day of JuN 2021_ by
ROSS A. CLIAMDERS
ROSS A. C14AMDEPC
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification _
Personally Known x OR Produced Identification
Type of IdentifiCduun
Type of Identification
Produced
Produced
;nNt JULIE SNELL
�`�`: Nota Public - 5meofFlorida
( nature o o ary te�q �PWiftV 195871(i
y omm. z ves Ma-•
ture of of ry Pu 'c- S rid,I
. '1 ary Public -State or Flaritien0ndeJthroughNtiv
alN
Commission I GG I OSRII
Commission No_ GG1
Commission No. GG185877 is?jjFXdln.E>tpire5Mar 13 20n
Bonded through National Notary Ass
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
5EATURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
REVIEW
DATE
RECEIVED
DATE
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COMPLETED
Rev, 2/7/19