HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 1 \a1 1 �l Permit Number: \.1,!�
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Building Permit Application I
JUL 2 7 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 I
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION: !�
Address: 4609 Pinetree Dr, Ft. Pierce, Fla.
Legal Description: Indian River Estates, Unit 04-Blk 36-Lot 7(Map 34/02N)(Or 3930-2225)
Property Tax ID#: 3402-605-0072-000-5 Lot No.7
Site Plan Name: , Block No.
Project Name: WRIGHT
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Setbacks Front 42' Back: 46' Right Side: 0 Left Side: 0
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DETAILED DESCRIPTION OF WORK:
Install 3531f of 4' 2" mesh pool code chain link fence with a 5' walk gate on rea lj and sides of
property and 41' of 5' PVC Tongue & Groove fence on right and left!sides of house with a 4' walk gate
on the left and a 10' single gate on the right.
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CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check all apply:
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11HVAC Gas Tank ❑Gas Piping Shutters a Windows/Doors
Electric Plumbing Sprinklers FI Generator F-1 Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
5842
Cost of Construction:$ $ Utilities: uSewerHSeptic Building Height:
OWNER/LESSEE: CONTRACTOR-'
Name Raymond D Wright Jr Name: Ross A.Chambers
Address:10607 Pine Needle Dr. Company: Adron Fence Co
City: Ft. Pierce State:Fl Address: 1132 NE 12th St
Zip Code: 3¢A S Fax: City: Okeechobee State:FI
Phone No.772-370-9943 Zip Code: 34972 ax: 863-763-8404
E-Mail:raywrightl@att.net Phone No. 800-282-5172
Fill in fee simple Title Holder on next page(if different E-Mail: adronfence@live.com it
from the Owner listed above) State or County License: 18971
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable RTGAGE COMPANY: _Not Applicable
Name. Nam
Address: Addres
City: State: City: State:
Zip: hone: Zip: Phone: II
FEE SIMPLE TITLE HO ER: _Not Applicable BONDING CO NY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has comme ced prior to the issuance of a permit.
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St. Lucie County makes no representation that is granting a permit will authorize the permit holder the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants thastrict 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordin our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner SigTTat6re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF OKEECHOBEE COUNTY OF OKEECHOBEE
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The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this oN day of� 20 !?by this 24 day of j°ly ,20 /17 by
ROSS A.CHAMBERS ROSS A.CHAMBERS
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x Personally Known x,�^—• Q�Prorlu.�edddat�on _
Type of Identification o�o� �<%' DOR Type of Identificatio Prq'dl ! DOREEN ELARDI —
;r, t�= M
fi o; No Public-State of Florida
My C m Expires Oct 21,2018 `� n •_ M' Comm. Oct 21,2018
Commission No. �e Commission No. y €8�+
�,. Comrr��sion #FF 150067 f;��, n (Commission #FF 150067
OF F�U�`� Bonded Through National Notary Assn. ( ;of
Bonded Through National Notary Assn.
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Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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