HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: Iu () U ' U1 I
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie Countt-
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
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Address: 4400 Fairwinds Drive Fort Pierce FL 34946
Legal Description: please see attached
Property Tax ID #: 1419-334-0001-000-2
Site Plan Name: Fairwinds Golf Course
Project Name: Fairwinds Golf Course
Setbacks Front Back: _
Right Side: Left Side:
Lot No.
Block No.
i:DETA1lED OES;CRIPTION:OF=WORK,
5500 ft of 6ft high commercial 6 ga black chainlink with (3) 5 ft xy/ high single gates and
(2) 10 ft x 6ft high double gates 5'q N;5>, ��Q, Q\1 He, JMv cJ
CONSTRUCTtOM INFORMATION: ;i
his
rtiona war to
0HVAC
e e orme un ert permit-c ec
Gas Tank Gas Piping
a apply:
In _Shutters
❑ Windows/Doors
I
11 Electric
0 Plumbing []Sprinklers
11 Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 'To' -000
SgFt. of First Floor: _
Utilities: E Sewer E]Septic
Building Height:
OWNER/LESSEE;%
:"
CgNTRAC?OR
w a;;. _. `;
Name St Lucie County
Name: Chester Richmond
Address: 2300 Virginia Ave
Company: Stuart Fence Company
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. Mark-772473-0394
Address: PO Box 2636
City: Stuart State: FL
Zip Code: 34995 Fax: 772-288-3035
Phone No. 772-288-1151
E-Mail: cammarenem@stlucieco.org
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: stuartfence@bellsouth. net
State or County License: U20060/ 20978
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
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.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20 _by
Chester Richmond --•--^ 5
Signature of Contractor/License Holder
STATE OF FLORIDA M^ ^f
COUNTY OF Memo � � a Y in
The forgoing instrument was acknowledged before me
this 'i'—day of to ) .20 by
rth e_4Qr a. a jh tM,t9-V,C_L
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
A bk .�
(Signat re of Notary Public- State of Florida )
Personally Known ORProducedIdentification
Type of Identification Produced
Commission No. I DIAIVak BOND
.•. )' My COMMISSION #FF1 85430
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS