HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/7/2022
Permit Number:
LU
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V L` e L `, E Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 7509 North Blvd -Fort Pierce, FL- 34951
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PropertyTaxlD q: 1301-607-0329-000-2 Lot No. 25
Site Plan Name: Block No. 82
Project Name: Gamble
DETAILED DESCRIPTION OF WORK:
Installation of 94FT of 4FT black aluminum A series fencing w/ (1) 6FT double Rate.
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 _Windows/Doors _Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
94FT
Cost of Construction: $ 5215.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CORISSAGAMBLE
Name: ROSSACHAMBERS
Address: 7509 NORTH BLVD
Company: ADRON FENCE CO INC
City: FORT PIERCE State: FL
Zip Code: 34951 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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
GINEER: _ Not App
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Add ress:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: _
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City: City:
Zip: Phone: I 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. 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'Nssociagtion rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with 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,
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 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 nr an attnrnev before commenciniz work or recordine vour Notice of Commencement.
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Signature f'Cortor-or-OwnerBuilderasapplicable
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STATE OF FLORIDA
COUNTY OF OKEECHOBEE
Sworn to (or affir ed) and subscribed before me of
X Physical Presence or Online Notarization
this`W day of �202&by
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
CommissionNo.N���150 (Seal) P+'
L
KASEYLBEof
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Ndary Public, Slate FlOAW
CommWion No. HH 21NO
My Comm. Fxon 12I2612026
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Rev 10/1Z/Zl