HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED , I �""
Date: 3/31/20 Permit Number• QON - O 1(p
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Vlrginlo Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 3414 Industrial 33rd St. Ft.Pierce, FL 34946
Property Tax ID R: 1429-501-0029-000-7 Lot No.4� 5'
Site Plan Name: Wallaby's Fabrications, LLC Block No..:_
Project Name: VWalinhV'c FahriCatianc I I C
I DETAILED DESCRIPTION OF WORK: - I
Install 20' of 6' high chain link fence with barb wire 5 ' uj i d A
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of construction: $ 500.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wallaby's Fabrications, LLC
Name: Geary S. Adams Jr.
Address: 3414 Industrial 33rd at
Company: Adams fence 2 LLC
City: Ft. Pierce State: FI
Address:1206 8th St
Zip Code: 34946 Fax:
city: Vero Beach Stater
Phone No. 772-467-0011
Zip Code: 32962 Fax:
E-Mail:, supportQwallabysfabshop _cem
Phone No 772-999-2038
Fill In fee simple Title Holder on next page ( If different
E-Mail elizabeth(Madamsfencecomn�y.com
from the Owner listed above)
State or County License 97078
ff value of construction Is $2500 or more, a RECORDEDAotice of commencement is regwrea.
N value of HVAC Is $7,500 or more, 'a RECORDED Notice of Commencement is required.
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. j.ticie Countty� makes rio representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confllct with any l 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 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 JOB SITE BEFORE THE FIRST WSPECTiON. W YOU INIEIW TO OBTAIN FUJANCING, CONSULT
WITH YOUR LE11iDEROR 1ILI4�T>9RNE'�BEEORE RECORDING YOUR NOTICE OF COMMENCEMENT?
ev.
`SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNS ENGINEER:
Not Applicable
MORTGAGE COMPANY:
•
Not Applicable
Named
Name:
Address:
Address:
City;
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name-
Address:
Address:
City
Zip: Phone:
City:
Zip: Phone:
Signature of Owner/ lessee/Contractor as Agent for Owner
Signature of.Contractor/license Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Indian River
COUNTY OF Indian River
The forgoing Instrument was acknowledged before me
The forgoing Instrument was acknowledggdbefore me
March
this 30th day of March . Z0� by
this3�day of , Zp_ by
Geary S. Adams Jr.
Geary S. Adams, Jr.
Name of person making statement.
Name of person making statement.
Personally Known V OR Produced Identification
Personally Known �V OR Produced Identification
Type of Identification
Type of Identification
Produced
duced
EUZABETH EVANS
ELIZABETHEVANS
NotaryPublic-StateofFloridaCommission-FF989'42NotaryPublic-5tateofFlorida
F1ftW(FIqWm,
(signature of Notary PubllStdeS`tIK�7oridhxPlresay.0(gnature
of Nota