HomeMy WebLinkAboutBUILDING PERMIT APPLICATION--1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application
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 X
RECOVE®
JUN 2 8 2016
PERMITTING
Residentiagl t. Lucie county, FL
PERMIT APPLICATION FOR: Fence III
I PROPOSED IMPROVEMENT LOCATION: III
Address: 3660 W
Ft. Pierce , Fla 34981
Legal Description: see attached legal
Property Tax ID #: 3403-502-0156-100-6
Site Plan Name: Liberty Baptist Church
Project Name: Liberty Baptist Church
Lot No.
Block No.
Setbacks Front Back: Right Side: 0 Left Side: II
DETAILED DESCRIPTION OF WORK:
Replace existing fence install 232' of 6' Black Vinyl Chain Link Fence on Right rear corner of
property
CONSTRUCTION INFORMATION:
AaattionaiWorKtot3enertormed under
tispermit—check
all apply:
11HVA1 Gas Tank
Gas Piping
_ Shutters
❑Windows/Doors
Electric Plumbing
[]Sprinklers
Generator
Roof
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 4732
Utilities: 0Sewer El Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Liberty Baptist Church, Inc
Name: Ross A. Chambers
Address: 3660 W Midway Rd
Company: Adron Fence Cc
City: Ft. Pierce State: FI
Zip Code: 34981 Fax:
Phone No.772-461-2731
Address: 1132 NE 12th St
City: Okeechobee State:FI
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
,it value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I' SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:' III
Name: _
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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
commencing work or recordine vour-Notice of Commencement. i"
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF OKEECHOSEE
The forgoing instru nt was acknowledged before me
this'L�L_day of 20/1, by
ROSS A. CHAMARS
(Name of person acknowledging)
(Signature of Notary Public -State of Florida )
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
The forgoinginstruu ent was acknowledged before me
this %3 day of 20 t& by
ROSS A. CHAMBERS
(Name of person acknowledging)
(Signature of Notary Public -State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced af Identification Produced
DOREEN ELARD
Commission No. /0Zy /? `2o,�;K+•6 a%otary Public - State o plffh 7n sion No.�.�"(SeaIkEEN ELARDI
Ga,
• -My Comm. Expires Oct 1, a°, .`�= Notary Public - State of Florida
nn67----..... .. ... ......
Revised 07/15/2014
Commission # FF 150067
Bontlad Through National Notary Assn
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
I �J