HomeMy WebLinkAboutBuilding Permit Application41,.-2C.,l
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �+
Date: 3/31/20 Permit Number: 4 1
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
PERMIT TYPE: Fence
PROPOSED IMPROVEMENT LOCATION:
Commercial X Residential
Address: 3434 Industrial 33rd St Ft Pierce FL 34946
PropertyTaX ID #: 1429-501-0028-000-0 Lot No, 4
Site Plan Name: Wallaby's Fabrications LLC Block No. 3
Project Name: Wallahy'.q FnhdCaloonS I I C
I DETAILED DESCRIPTION OF WORK: I
Install 266' of 6' high chain link fence with
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: $ - - - J. 140440 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wallaby's Fabrications. LLC
Name: Geary S. Adams Jr.
Address: 3414 Industrial 33rd 'St
Company: Adams Fence 2 LLG
City: Ft. Pierce state: FL
Address-1206 8th St
Zip Code: 34946 Fax:
City: Vero Beach State: FL
Phone No. 772-467-0011
zip Code: 32962 Fax:
E-mail;,aupgortdDwallabysfahahon rom
phone No 772-999-2038
Fill In fee simple Title Holder on next page ( If different
E-mail elizabethoadamsfencecompa y-c m
from the Owner listed above)
State or County License 27078
If value of Construction is �isuu or more, a NeWnYsu nv116a vi wnn..c..w...�....y ...,....-_.
Rvalue of WAC is $7,500 or more, a RECORDED Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNS ENGINEER: _ Not Applicable .
MORTGAGE COMPANY: _ Not Applicable
.Name:
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.
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. LuclIe County make no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in conflict wit any l applicable Home Owners Association rules, bylaws or andcovenantsthat may restrict or prohibit such
structure. Please consult w th your Home Owners Association and review your deed for any restrictions whic 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 INSPECTNHe. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WRH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT a
Sig a cure of Owner/ Lessee/Contractor as Agent for Owner
rgnature of ContractorAicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF Indian River COUNTY OF Indian River
The forgoing instrument was acknowledged before me
this 30th day of March , 20a by
Geary S. Adams Jr.
Name of person making,statement.
Personally Known OR Produced Identification
Type of identification
Produced
ELIZABETH EVANS
Notary Public -State of Florida
(Sign ry M Of Expires May4,2020
Commission No. Stew
The forgoing instrument was acknowledged before me
this30thday of March , 20_ by
Geary S. Adams, Jr.
Name of person making statement.
Personally Known V_'OR Produced Identification
Type of identification
Produced
t*aY P( ELIZABETH EVANS
=_°► Notary Public - State of Florida
(Signature of Notary ,3�fFl� ,ExpiresMay4,2020
-OF FL..
Commission No.
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