Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABL INFO M ST BE OMPLETED FOR APPLICATION TO BE ACCEPTED © 9 Date: Permit Number: v it 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: 7205 Donlan Rd, Ft. Pierce, Fla. 13 4 9 5 I Legal Description: Lakewood Park, Unit 11, Blk 143, Lot 31 Property Tax ID#: 1301-613-0146-0004 Lot No:31 Site Plan Name: Gamez Block No. 143 Project Name: Gamez Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION`OF WORK: Install 199' of 4' Galvanized Chain Link Fence in rear of house, -4 r- or kik Od k° and 4. 5al-e ®" *'iee� � �al 5� e vt GzavS��r @c+,�t✓ uj Awcx>e oYer46�eX A*. Ya4ed OfF�+ae. + ��y+ o•-fi c��nev� �„e.�ara c c� ;°�v Meca.+ f ole,4 �i� -v �ie 4 die' bna� a.� a X55 �r>'��The ���`�� CONSTRUCTION INFORMATION: Additional work toe nerformed under t is.permit—check all appy: HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors Electric E] Plumbing []Sprinklers Generator Roof Total Sq. Ft of Construction: Sq. Ft.of First.Floor: Cost of Construction:$ 1655 Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Gamez,Antonio Name: Ross A.Chambers Address:7205 Donlan Rd Company: Adron Fence Co City: Ft. Pierce State:Fl Address: 1132 NE 12th St Zip Code: -W9 51 Fax: City: Okeechobee State:FI Phone No.772-464-5819 Zip Code: 34972 Fax: 863-763-8404 E-Mail:NSA 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. !p ( C 3 Z C) SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION; DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: N/A Name: N/A Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: N/A Name: N/A 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 _ Sigi1ature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Okeechobee COUNTY OF Okeechobee The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this Vtday of Aa4 201 L by this 7 day of may 20 l9 by Ross A.Chambers 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 Produced Type of Identification Produced Commission No. � �aaYP y(@ kEN ELARDI .<P �a�-. }iCommission Wiz• Notar u i -State of Florida o�•a'v'v�, Dv{ZELARDI •= My Comm.Expires Oct 21,2018 Notary -State of Florida eP, =•, = t�v airesOct 21,2018 Ea `F�"' Banded 711-trough Nal:^ 'I'; A4f fj = ,/.` n # FF 150067 ' Revised 07/15/20,14"!*",',"' - a'i,nal Notary REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS