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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR AEpL1rJNEDO BE ACCEPTED Date: Jl; BY Permit Number: OIJIO "d� ec�-Ar'rr�^^=tea 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 Residential PERMIT APPLICATION FOR: Fence I PROPOSED IMPROVEMENT LOCATION: I 1 11 Address: 3660 West Midway Road Ft. Pierce, FL 34981 Legal Description: See Exhibit A attached Property Tax ID #: 3403-502-0156-100-6 Site Plan Name: Liberty Church Project Name: Liberty Baptist Church Fence Setbacks Front 96' Back: 250' Right Side: 136' DETAILED DESCRIPTION OF WORK: See Exhibit B attached Tor L�QSGc� (�L'V 0� Left Side: 110' Lot No. Block No. CONSTALICTION INFORMATION: AC ^ona wor to M orme un ert^permit—c ec a apply: 11 LJHVAC Gas Tank Electric Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 50,180 Piping _Shutters ❑Windows/Doors nklers Generator Roof = Roof pitch S Ft. of First Floor: Utilities.. Sewer Building Height: OWN ERAESSEE: ` CONTRACTOR: Name Liberty Baptist Church, Inc Name: Ross A. Chambers Address:3660 West Midway Road Company: Adron Fence City: Ft. Pierce State: FL Zip Code: 34981 Fax: Phone No.772-461-2731 Address: 1132 NE 12th St. City: Okeechobee State: FL Zip Code: 34972 Fax: 863-763-8404 Phone No. 800-282-5172 E-Mail: libertybaptistch@bellsouth.net Fill in fee simple Title Holder on next page I if different from the Owner listed above) E-Mail: julie.adronfence@aol.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: DESIGNER/ENGINEER: Name: Z Not Applicable MORTGAGE COMPANY: Name: Y, Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _X Not Applicable BONDING COMPANY: Name: XNot Applicable Address: 1132 NE 12th St Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 commencing work or recording; Your Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA I STATE OF FLORIDA COUNTY OF 0Y�1�hCibPP_ COUNTY OF nKP�b('e The forgoing instrum nt was acknowledged fore me The forgoing instrument was acknowledged fore me this O rday of It Jne, 20 V9 by this& sfday ofJune, . 20y "Rrnss A. Cry-mber-s e 4. o im cabers . Name of person making statement Name of person making statement Personally Known )< OR Produced Identification Personally Known V OR Produced Identification Type of Identification Type of Identification Produced (3 1 &"/ ) - - - - - Produced =Z-11 9P • 014 (Signal of Notary Publ- S�jtgof Florida )JULIE SNELL (Signatur r1iota P. �gstat� �f Fb 5 LL l 7;'- nary u c- late of Florida Notary Public -Stale of Florida o; i; ry Commission No.lo; MI)= can O GG 195877 Expires Mar 13,2022 �jCommission a GG 195877 Commission No..'� d+' M�J Comm. Exd�.@ai#13, 2022 y omm. " Banded through National Notary Assn.Bonded through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 t ,ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ' Date: Permit Number: �I Building Permit Application Juiv.3 Planning and Development Services ��''��'' va Building and Code Regulation Division '84 q!i De (ad,pa 1(t/ 2300 Virginia Avenue, Fort Pierce FL 34982 a �unfit' Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Fence l 'PRO ENT LOCATION: /` I Address: 3660 West Midway Road Ft. Pierce, FL 34981 Legal Description: See exhibit A attached Property Tax ID #: 3403-502-0156-100-6 Site Plan Name: Liberty Church Project Name: Liberty Baptist Church Fence Lot No. Block No. I'DETA(LED.DESCRIPTION-OFWORK: � m . - ,� See attached letter of job descriptions for fence work. CONSTRUCTIONtINFORIVIl�TION: - rtlona wor to �e un ert ispermit—checkapply.. �HVAC jerrormed LJ Gas Tank ❑Gas Piping In _ Shutters Windows/Doors Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 50,180 Utilities: Sewer 11 Septic Building Height: OWNER/LESSEE; CONTRACTOR: Name Liberty Baptist Church, Inc. Name: Ross A. Chambers Address: 3660 West Midway Road Company: Adron Fence City: Ft. Pierce 4 State: FL Zip Code: 34981 Fax: Phone No.772-461-2731 Address: 1132 NE 12th St. City: Okeechobee State: FL Zip Code: 34972 Fax: 863-763-8404 Phone No. 800-282-5172 E-Mail: libertybapbstch@bellsouth.net Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: julie.adronfence@aol.com State or County License: 18971 It value of construction is 52500 or more, a RECORDED Notice of Commencement is required. w — � SUPPLEMENTAL CONSTRUC�TI®N LIEN LAW INFORMAITI®N ._..> , k k, .^y, y DESIGNER/ENGINEER: Name: ro x Not Applicable MORTGAGE COMPANY: Name:-=— ^� _ Not Applicable Address: Address:-a�^'^=^^' City:,E PiI Zip: Phone State: City: Okaeehabea Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _ of Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countty� makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conM 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 commencing work or recording our Notice of Commencement. Signature of net/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF oxeav,°bea COUNTY OF oxeeonoeee The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 15 day of "e 20_ by this 15 day of auae 20_ by Ross A. Chambers Row A. Chambers Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced � DOREEN FI ARnI pp ";•• DOREEN ELARDI G } k a,m r n .i (Signature of Notary P �bfr ; '� ``t5f F'andbppblic - State of Florida • : •e My Comm. Expires Oct 21, 2018 FF15oo 1 %,+, -- +O' Cc( Commission No. •�,F eo �9e131 ion#FF 150067 mn"• Bonded Through National Notary Assn. 7 (Signature of Notary Publl S 6 P .lib giimin Expires Oct 21, 20 I . 'a ` Commission # FF 150067 -%,+rEe ...... Commission No. FF15oo57 Bor(SeDII National Notary A. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17