HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date: Permit Number: 1 SD_q'0539
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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 Residential x
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 6508 Kings Highway, Ft. Pierce, Fla.34951
Legal Description: Lakewood Park-Unit 9-13Ik 104, Lot 12(Map 13/01 N)(or 3033-2994)
Property Tax ID#: 1301-611-0078-000-0 Lot No.12
Site Plan Name: Nester Block No. 104
Project Name: Nester
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 180' of 5' Black Vinyl Chain Link Fence at the rear and right side of property
CONSTRUCTION INFORMATION:
Additional work to Tlerformed under this permit—check all tbat appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers E]Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2359 Utilities:Cn Sewer[]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Nester,Carolyn Name: Ross A.Chambers
Address:6508 Kings Hwy Company: Adron Fence Company
City: Ft. Pierce State:Fl Address: 1132 NE 12th St
Zip Code: 34951 Fax: City: Okeechobee State:FI
Phone No.772-464-1553 Zip Code: 34972 Fax: 863-763-8404 J
E-Mail: Phone No. 800-282-5172
Fill in fee simple Title Holder on next page(if different E-Mail: adronfence@live.com
from the Owner listed above) 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: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Na Name: n/a
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Na Name: Na
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
commencing work or recording our Notice of Commencement.
s
Si ture of Owner/Lessee/Agent Sig ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF OKEECH013EE COUNTY OF OKEECHOBEE
The forgoing instrument vas acknowledged before me The forgoing instrument was acknowledged before me
this 7 day of CdfLLe1� 20 is by this 29 day of APRIL ,20 �g by
ROSS A.CHAM4RS ROSS A.CHAMBERS
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Pr d Type of Identification Produced
"'ar'a"" DOREEN ELARDI DOREE L DI
°sP UB�'�'' ommission NO. .�`iPaY Pis''. r
Commission No. =r, ��: NoMaef� blic-State of Florida ;_ „�:_—Notary Public of Florida
:'• •=My Comm.Expires Oct 21,201 __.; ;•_= My Comm.Expires Oct 21,2018
Commission# 6 4 Q
Bonded Through National Notary Assn. s% `
'dy %° ��' Bonded Through National Notary Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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