HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S. Q& 1to jLANNED Permit Number: ��_�) LI D,4
BY
'3t. Lucie County RECEV tf E
Building Permit Application MAY 2 3 2016
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial K Residential
PERMIT APPLICATION FOR: Fence
Address: TBD-Citrus & Saeger
Legal Description: Legals attached
Property Tax ID #: ivrurrrpie parcels o-see aaacnea-�A r oy
Site Plan Name: Citrus Hamock Preserve Fence
_Project Name: St. Lucie County Citrus Hammock Preserve
Setbacks Front Back: Right Side:
II DETAILED DESCRIPTION OF WORK:
Install 924' of 3' Decorative wood rail/post fence
1_1HVAC LJGas Tank
Electric 1:1 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 14,476
Left Side:
Piping "Shutters
nklers ElGenerator
_ S Ft. of First Floor: _
Utilities:n Sewer E]Septic
Lot No.
Block No.
Windows/Doors
Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St. Lucie County
Name: Ross A. Chambers
Address:2300 Virginia Ave
Company: Adron Fence Co
City: Ft. Pierce State: Fl
Zip Code: 34982 Fax:
Phone No.772-462-1700
Address: 1132 NE 12th St
City: Okeechobee State:F1
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.
LIEN LAW
Name: NIA
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: NIA
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: NIA
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: NIA
Address:
City:
Zip: Phone:
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 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 attorney before
commencine work or recordine vour Notice of Commencement.
_ Sigr(ature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me
this?40 day of e% 20 & by
ROSSA.CHAMBERS
(Name of person acknowledging)
400�&t.�
(Signature of Notary Public -State of Florida)
Personally Known X
Type of Identification
Commission
Revised
OR Produced Identification
No(Sgal] blic - State of Florida
My Comm. Expires Oct 21, 201E
r,..omfednn # FF 150067
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me
this 20 day of ' 20 _by
ROSS A. CHAMBERS
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
of
Known
�: •_ My Comm. ire 1Oct 21, 2018
No �- Bonded Through National Notary Assn,
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