HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/23/2022
Permit Number:
s `n LLL1L.
V L `' I L L,' C 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:
PROPOSED IMPROVEMENT LOCATION:
X
Address: 3008 Approach Shot Way - Port Saint Lucie, FL - 34952
Property Tax ID #: 3425-707-0203-000-7 Lot No. 22
Site Plan Name: Luttrell Block No. 41
Project Name: Luttrell
DETAILED DESCRIPTION OF WORK:
Installation of 51FT of 3FT Hanover style white PVC fencing w/ (2) 3FT 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: 51FT
Cost of Construction: $ 3860.00
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name STEVEN LUTTRELL
Name: ROSS A CHAMBERS
Address: 3008 APPROACH SHOT WAY
Company: ADRON FENCE CO INC
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax: 863-763-8404
Phone No. 800-282-5172 E-
Address: 1132 NE 12TH ST
City: OKEECHOBEE State: FL
Zlp 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 I� W INfwRMA?lwN:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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. 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 Association 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 or an attornev before commencing work or recording vour Notice of Commencement.
Signal re of Contractor - or -- Owner applicable
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
Sworn to for affir e) and subscribed before me of X
Physical Presence or Online Notarization
this "tiay of 20a by
_
Name of person making statement.
Personally Known X OR Produced Identification
Type f Identificati Produced
natulre of - State of Florida)
Commission No. HH210650 (Seal) EKASEYLBELL
� Notary Public. State of Flotioe
% Canmireion No. HH 21DW
n^' MY
Comm. Fxptiea 191Y5IP025
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21