HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 12-16-21 4
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All=I�PPLICABIE'IIV�Q Mt15T'BE`CQMPkEfED F{?R APPLICATIQN TO BE;ACCEPTED �/�
Date: 12/16%2021 Permit Nurnber: �QJUc610
;:. B.u_ilding Pgrmit;Appl cation
P%a»ning.and E7eveiopinentScNices:
8611d bwand Code Re aladoh D!ivish
23(N7`Vtrgrnfo Avenue,Fort P►erce P 34982
Ph8ne:'(772y:4621551 Fax:04 1462-1579 Commercial. 'Residential. X
PERM4TTYFE.FENCE
Pitbpo—D 00FRQVEM,ENT LOCATION
-Address:. 32Ol Linda Vista Ave... Fart*Fierce, FL--34982
PropertyTax ID .-- 2428-501.-0146-000:-0._.. .. . _.._ _ Lr�c':iwia. 17-23. ..
Site Plan Name: _ Sides Biock:wo.. Q .
i Project Plame:. .100821SIDITF
_-.__. . DEl A11:ED QESCRIPTiQN C?F Vt�ORK --. .--.--
,
Installation cif 86FT OAFT biack vinyl:chainJinkfencing w% (i)SFf gate-and (1} 6FT gate
ONSTRUCTI9N,1NF0RMATION;
Additional wark:.tobe performed. under this:permit-check-:all that apply::
_Mechanical _-Gas Tank: Gas Piping- _Shutters ,Windows/Doors
Electric. ..Plumbing Sprinklers r�Generator Roof 'Pitch
total'S.j:.Ffof Const'tuction 86FT Sq.Ft:of Fist Floor:
00"246A
Cost of Construction:$ Utilities: _S'ewe.r 'Septic: Building Height
QWNERjLESSI: RACTCR e
CONT s
Name SEE CONTRACT. Name:Ross A.Chambers
Address,. Company.Adron Fence
city: _ State: ,',Address:1132 NE 12th st;
zip,code: Fax: Gi Okeechobee 5tate:.Ft f
Phone:No.: 2ip.-code 34972' Fax; 0� 63 8404
E Mail Phone No 800 282-5172
f
Eill in fee simple�Title;Holder'Qrr next page, different E-Mari Permits@adronfence com ;
Pram:the.PwnO,fisted above) State ar>County License 1,8971
If ualue`of."constructio�.Is$866,p more;.a'RECORDED Ntitice of=�orr}mencement is required.
tfuatue of.HVAC is$,7r5dD cir mare,_a;RECORdED Notice.°of`Commencemeat is.requtred:.
A
SUPPLEMENTAL CONSTRl1CT(t�N LIEN LAW INFtRNIATIQN. r>
DESIGNER,ENGINEER: X NotApolicatil MOiiTGAGEkGOMPANY; X. Not Appl ceb(e,
Name: Name:.
Address:_ . _ _ . Address;.
City*, > _ State. NC(ty:, State>
Zip : Phone zip . Phone:
TEE SIMPLE TITLEHOLDER - .X Not-Applicable BONDING WIVIPANY. K Not:Applicabie
Name: Natime
Address: `Address:
City
City
Zi Phone: _ Z
p:: fp. Phone:
OWNER/CONTRACTOR AFFI[)VIT::Applicatian"is hereby-made to obtain a permit to do the wotk and installation as.indicated,
I certify-that no w&k or installatian-has commenced prior to the issuance of a permit;
st.Lucie C,ounty makes no represeritation:thatis granting a.permitwill_authorize the permit hold er<to build the subject structure'.
vhlch is in conflict;With any applicable Home Owners Assonatio'n rules;bylaws.or and covenants that may.restrict:or prohibit such
structure.Please consult With your Home Owners`Association and review yourdeed:for any restrictions which may:apply:
in consideration,ofthe granting of this requested per I'do hereby agree that I'will,in all respects;perform the-work
in accordance-wiitt the approved,ptaris,the Florida"building Codes and St:L`•ucle County Amendments.
'The-foltowing bullcling permit appilcatldns are exeml tftdrn undergoing a full concufrency review-room additions,
accessory°structures,swimming pools;fences,walls;signs,screen rooms and accessory uses to another--non-residential use
"WARNING TO,OWNEW YOUR;iFAILURE.TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE,-FO : 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 O COMMENCEMENT."__
'5i gni ture of.owner/`.Lessee%Contractor as'Agent for'Owner Signature.of contractor/License;Holder
ST-ATE.OF FLORIDA. STATE OF FLORIDA
COUNTY OFonEe"OBEc, COUNTY OF.bkiicriosix
The•cirgoing instrument rwas•ackriowledged,before rite`. The forgoing instr`merit was acknowledged before me.
this day of 2(}2'1 by fhist day o'F + lM" ,.2021_.by
ROSS'A4 CHAMBERS ROSSA:,CHAMBERS•
dame of person'rnaking statement; Name"of persori'making statement,
Personally Known_x OR Probuced•Identification Personally:Known x OR Produced ld'entificatlon
Type of Identification Type of,identiflcatlon
- Produced 'Produced
All
{Signature of Notary Publi f Florids� FINDA'�GaancR ignature of Notary t?ulslk-- orr a
v AtIR3NGA GARNER
ouoliC'-' 'of Florida .
Commission No. P` yrj+N& lion iEt'498g71 biu St4H 9Florida
CS'r#' otar4 PU
' M }.i^fres Fey Z5,2423 Commission No._ s �' {t�£td#la}seer e3N 498Q71.
aa�. A+Y Corr Kx0res reb 25 2025
Bcmded.thr�4rn Vat�tinai;NctaryAssn.' Banes through t+aacnai +otarg
REVIEWS FRONT ZONING SCIPERVISOR, ' PLANS VEGETATIOIU SEAL URTLE M NGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW r,
DATE _
RECEIVED
DATE _. ...
COMPLETEDV.21//19