HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONy
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date:4 I IckDI Is Permit Number:
RECEI`.' I NOV 2 0 2015
Building Permit Application SCANNED
Planning and Development Services BY
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Fence III
PROPOSED'IMPROVEMENT LOCATION:
Address: 5000 N. Dunn Rd, Ft. Pierce,Fla.
Legal Description: see attached legal -
Property Tax ID #: 3403-502-0194-000-3
Site Plan Name: ST Lucie Hospice House
Project Name: Hospice Butterfly Gardens
Setbacks Front Back:
Gardens
Right Side: Left Side:
Lot No.
Block No.
DETAILED.DESCRIPTION OF WORK' III
Install 36' of 36" Aluminum landscape fencing
CONSTRUCTION INFORMATION:
HVAC
Gas Tank
Gas Piping
U Shutters
❑
Windows/Doors
Electric
Plumbing
❑Sprinklers
0 Generator
11
Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 2303
S Ft. of First Floor: _
Utilities:ll Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Hospice FoundationlMartin/St. Lucie
Name: Ross A. Chambers
Address:101 SE Indian St
Company: Adron Fence Company
City: Stuart State: A
Zip Code: 34997 Fax:
Phone No. 772-464-8508
Address: 1132 NE 12th St
City: Okeechobee State: FL
Zip Code: 34972 Fax: 863-763-8404
Phone No. 800-282-5172
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: adronfence@live.com
State or County License: 18971
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name: NIA
City:
Zip:,
FEE SIMPLE TITLE HOLDER:
Name: wA
Address:
Citv:
Zip: Phone: _
State:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: N/A
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name: NIA
Address:
City:
Zip: Phone:
_Not Applicable
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anScovenants 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 1 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 attorney before
commencing work or recording vour Notice of Commencement.
of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me
this /9 day of 77rt t.--� 20 f S by
ROSS A. CHAMakRS
(Name of person acknowledging)
Zak'&ek
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Pro duPed . .,
DOREEN ELARDI
Commission No. N0(5)=81ib1ic -State of Florida
E • ; : • _ My Comm. Expires Oct 21. 2018
I �o� Commission # FF isnou
Banded Through National Notary Assn.
Revised 07/15/201
A!�!� r�r �ertlli�sl� s
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before before me
this 18 day of NOVEMBER 20 1 by
ROSSA.CHAMBERS
(Name of
person acknowledging)
Z
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identl%§111oaPmd 1 _
DOREEN EUR I, Florida
My Comm. Expires Oct 21, 2018
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