HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
b� _ C ,J1 RECEIVED
Building"LuPermit Application MAR 2 2 2018
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
ST. Luciet Sawnty, Permitting
Residential X
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION: I
Address: 'S QUA �iUaeA 1;--/c, 3q-_!Y7
Legal Description: River Watch Blk3, Lot 3 (or 3 13-1661) I
Property Tax ID #: 4511-815-0007-000-2
Site Plan Name: F"ER1-E
Project Name: Eberle Residential Pool Fence
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
Lot No. 3
Block No. 3
Install 15' of 6' horizonital wood fence on left side of house with a 3' gate ,install 56' of 4' black
chainlink on left property line and install 32' of 4' alum6rn with a 3' walk gate and two' : wings over
the seawall trn2 3'a,0-4 'l�,� I
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit — check a I apply:
11HVAC E] Gas Tank Gas Piping I_ Shutters E]Windows/Doors
Electric 0 Plumbing 1:1Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:.
Cost of Construction: $ 3888
S . Ft.',of First Floor: _
Utilities: Ll Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Lz- C,
Name: RD5 ✓ A, 1haTr-but-4
Company: Adron Fence Co
Address:
11
Address: b 5 ,ZA
City:d= State: FI
Zip Code: 34957 Fax:
Phone No. 561-317-4733
City: OR,eQG{r1aby--, - State: fl
Zip Code: 34972 Fax: 863-763-8404
E-Mail: glenn@cespecialist.com
Phone No. 800-282-5172
Fill in fee simple Title Holder on next page ( if different
E-Mail: aidronfence@live.com
State or County License: 18971
I
from the Owner listed above
If value of construction is $2500 or more, a RECORDED Notice of Commencement is r ed. cW
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: _ of Applicable
Name:
Name:
Address:
Address:
City:
State: I
City: State:
Zip: Phone
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Zip: Phone:
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FEE SIMPLE TITLE HOLDER:
_ of Applicable
BONDING COMPANY: ANot Applicable
Name:
Name:
Address:
I
Address:
City:
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City:
Zip: Phone:
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Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is he' eby 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 alpermit will authorize the permit holder to build the subject structure
which is in conflict with any 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attgrney before
rnmmpnrina wnrk.nr rpcnrding vour Nntirp of Cnmmencement_ �
t1d dM1,11Z I
, L i ljw/
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 20 day of MARCH 20 N by
this 20 day of MARCH
20 1.F by
ROSS A. CHAMBERS
ROSS A. CHAMBERS
Name of person making statement
I
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x
OR Produced Identification
Type of Identification
Type of Identification
Produced
I
Produced
(Signature of Notary Public- State . f aY PU ` '= Notary Pub]' ! Sta
Y i
• ti n •= My Comm. Expires
a �igp r`� of Notary Publi
ct 21, 2C18
�'Y P , ri ^
; a ti �6i�ry Publ;c State of Flori
?• ; •= My Comm. Expires Oct 21, ?.
Commission No. �n / $ "., - Commission, #
F CMMissiOn No. /J
;c ( ssion # FF 150067
Bonded Through Nation
9
i
Notary Assn.
ry
�., of � Bonded Through National Notary N
REVIEWS
FRONT
ZONING
SUPERVISOR
PLAN
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW I
RE
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
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y���`��
COMPLETED
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Rev. 8/2/17
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