HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l0' Y In r Permit Number:
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
JUN 0 4 2018
Permitting De
partmel
e t: Lucie County, FL
PERMIT APPLICATION FOR: Fence III
PROPOSEDIM
Address: 4551 St. Lucie Blvd, Ft. Pierce Fla, 34014(P
Legal Description: 31 34 40 N W 1/4 of NE 1/4 less rd and canal and less N 50 ft for addn rd R/W as in or 3265-1974
(36.34 AC) (or 3981-2141)
Property Tax ID #: 1431-120-0000-000-6
Site Plan Name:
Project Name: MAVERICK BOAT GROUP, INC FENCE PROJECT
Setbacks Front o100 Back: PCIA Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side: 0
Lot No.
Block No.
Install 506' of 6' Black Vinyl Chain Link and 1030' of 6' Galvanized Chain Link Fence -Two 28' x 6
Cantaliver Gates one on each side of Building SCANNED
BY
St. Lucie Cot pt„
CONSTRUCTION INFORMATION:
Additional work to be e ormed under tispermit-check all apply.
1JHVAC Gas Tank Gas Piping _Shutters ❑ Windows/Doors
11 Electric OPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S'c Ft. of First Floor:
Cost of Construction: $ 35,571 Utilities: Sewer DSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Maverick Boat Group, Inc
Name: Ross A. Chambers
Address:3207 Industrial 29th St
Company: Adron Fence Co
City: Ft. Pierce State:Fl
Zip Code: 34946 Fax:
Phone No. '7'1 a- 1i fo5 -0 b 3)
Address: 1132 NE 12th St
City: Okeechobee State :Fl
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: adronfenceco@aol.com
State or County License: 18971
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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
is in
which 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
commencingwork or recordingur Notice of Commencement.
se W � &LLI
J"a
Rev.8/2/17
SUPPLEMENTAL CONSTRUCTION LIEN LAW<INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Namer�
Not Applicable
Address:
Address: ��
City: ��+a-
Zip: Phone
State:
City: �
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_ of Applicable
Address: "'" """" "'
Address:
City:
City:
Zip: Phone:
Zip: Phone:
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF OKEECHOaEE
COUNTY OF OKEECHOeEE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 4 day Of JUNE 20_ by
this 4 day Of JUNE . 20_ by
ROSS A. CHAMBERS
ROSS 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
(Signature of Notary Publi - • •��°'f•EJor�a 4 6EtTE[AAIIr—
°, , %°s ota y Puhl:c -State o1 Flori
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a (ignature of Notary P
lic, 5�i<� of Floridaf�OREEN ELARDI i
=s°`, ;`� Notary Puhl:c -State of Florida j
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FF 1600s7 2 �+ , - a'- N m. Expires Oct 21, 2
Commission No. - (5�2(S
1gO mission No.
(; FF16006
2• : + •= M• Co(6p�j�pires Oct 21, 2018
or Commission # fF i660fi
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= -�•' Commission # FF 150067
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Notary Assn
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