HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: I10� - O to
BY
St. Lucie Courts
Building Permit Application RECE1 ED
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
AUG 04 2017
PERMIT APPLICATION FOR: Fence III
PROPOSED IMPROVEMENT LOCATION: II
Address: 2205 Grand Oaks Ave, Ft Pierce, Fl34981 2�p S �fCt>nd �kS 1P
Legal Description: see attached exhibit "A"
Property Tax ID #: 3404-712-0001-000-2
Site Plan Name:
Project Name: Southern Oak Estates POA
Setbacks Front Back: Right Side: nla Left Side: n/a
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I III
Install 480 If of 4' Galvanized chainlink fence
CO_ NSTRUCTION INFORMATION:
rtiona worKtOoenerrormed under tispermit—check a apply:
�HVA( Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator 0 Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 410215
S Ft. of First Floor: _
Utilities:Sewer El Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Southern Oak Estates POA
Name: Ross A. Chambers
Address:2309 Grand Oak Ave
Company: Adron Fence CO
City: Ft. Pierce State:Fl
Zip Code: 34981 Fax:
Phone No. 772-370-0320
Address: 1132 NE 12th St
City: Okeechobee State: FI
Zip Code: 34972 Fax:
Phone No. 800-282-5172
E-Mail:jimwtca@ao.com
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 LIENLAW INFO MATION:
DE GNER/ENGINEER: _ Not Applicable
Name.
RTGAGE COMPANY: _ Not Applicable
Na
Address:
Addr s:
City: State:
Zip: one:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDE _ Not Applicable
Name:
BONDING C PANY: _Not Applicable
Name:
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
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
The forgoing Instrtiment was acknowledged before me
this 5 day of Wn
20 1? by
ROSSA.CHAMBERS
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Knowny OR Produced Identification
Type of Identification Produced
Commission NO. FF750 Br—"'"'1�
..,nr ova;, EN ELARDI
(i g Notary Public - State of Florida
Revised 07/15/2 4'%;P.=.Fs°° ° Com�mission, # FF 150067
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me
this 25 day of JULV , 200 by
ROSS A. CHAMBERS
(Name of person acknowledging)
i
L/
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. F1sA °�'�. DOREE(SMJDI
+.,h, � °? o ary Public- State of Florida
. '. 12 . •c My Comm. Expires Oct 21. 201E
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