HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONILK ows Imacv'[�
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/30/2021 Permit Number:
9117 c E [ G
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
S�
Commercial X Residential
CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 4551 ST LUCIE BLVD - FORT PIERCE, FL - 34946
Property Tax ID d: 1431-120-0000-000-6 Lot No.
Site Plan Name: RK DAVIS - MAVERICK BOATS Block No.
Project Name: RK DAVIS - MAVERICK BOATS
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF 1276FT OF 6FT BLACK VINYL CHAIN LINK FENCING W/ (1) LOFT DOUBLE GATE & (2) 26FT ROLL GATES
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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: 1276FT
Cost of Construction: $ 37782.00
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MAVERICK BOATS GROUP INC.
Name: ROSS A CHAMBERS
Address: 3207 INDUSTRIAL 29TH ST
Company: ADRON FENCE CO INC
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 863-763-8404
Phone No. 800-282-5172 E-
Address: 1132 NE 12TH ST
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax: 863-763-8404
Phone No 800-282-5172
Mail: permits@adronfence.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permits@adronfence.com
State or County License 18971
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ESIGNER/ENGINEER: _ Not Applicable
Name:
RTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
R E SIMPLE TITLE HOLDER: _ Not Applicable
Name:
lllliNDING COMPANY: Not Applicable
Name.
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AfFtDVIT: Application is fremby madeto obtain a permit to do the work and installation as lndicated.
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 conflicts with any applicable Homeowners Assoclation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult w applicable
your Homeowners 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,
arr-essory structures, swimming pools, fences, walls, signs, screen rooms -and _arrxssory usestoanother non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording vour Notice of Commencement.
SignatuSignatu e�ractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
Sworn to (or affirmed) and subscribed before me of X
Physical Presence or _ Online Notarization
this _idayof D*C 4yJacX 20Aby
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
Ot[ldt.t_—_�f� T1A• lctAf.A.fir
(Signature of Notary Public- State of Florida)
Commission No. Oq%071 (Seal) iir'^'-
uuRINDAM GARNER
Notary Pcblic Florida
- State or
Carmissior a HH 099071
.'!tend
My Comm. Expires Deb 2s. 2025
awoed thruagh Nation. Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
a JrJM