HomeMy WebLinkAboutBuilding Permit App with attachmentsALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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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
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 6010 ROLAND CT, FT. PIERCE FLA. 34951
Commercial Residential x
Legal Description: Lakewood Park Addition No 1, Blke Lot 7 (or 3850-925)
Property Tax ]D #: 1302-810-0109-000-1
Site Plan Name: Stone
Project Name: Stone
Setbacks Front 27 Back: 0
Right Side: 0 Left Side:
Lot No. .7_-_ _-
Block No. E
Install 186" of 5' Galvanized Chain Link Fence in the rear of property and on sides of property
mitionai worK to ne errormea
HVAC Gas Tank
unser tnis permit— cnecK all
Gas Piping_
[n apply:
Shutters
❑ Windows/Doors
_
Company: Adron Fence Co
City: Ft. Pierce State: FI
Zip Code: 34951 Fax:
Phone No. 772-328-0928
Address: 1132 NE 12th St
0 Electric F1Plumbing'Sprinklers
E -Mail:
[ Generator
1:1 Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ $2155
SFt. of First Floor:. _
Utilities: Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michele Stone
Name: Ross A. Chambers
Address: 6010 Roland Ct
Company: Adron Fence Co
City: Ft. Pierce State: FI
Zip Code: 34951 Fax:
Phone No. 772-328-0928
Address: 1132 NE 12th St
City: Okeechobee State: FI
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: adronfence@live.com
State or County License: 18971
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: NIA
MORTGAGE COMPANY: Not Applicable
Name: NIA
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: NIA
BONDING COMPANY: _Not Applicable
Name: NIA
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 -0
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 recordigLyour Notice of Commencement.
s
—Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDAI STATE OF FLORIDA
COUNTY OF OKEECHOBEE COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me I The forgoing instrument was acknowledged before me
this 1�e day of � � , 20 /fc by this 20 day of APRIL 20 by
ROSS A. CHAMBERS ROSS A. CHAMBERS
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known X
Type of Identification
Commission No.
Revised 07/15/20
OR Produced
Notarrrl1��Puq is - state of Florida
My Cdt % txores Oct 21, 2013
Commission # FF 150067
(Signature of Notary Public- State of Florida )
Personally Known X gip aced Identification
Type of identification Pr d a P
•` My Comm. - ?1, 2018
Commission No. 150067
Bonded Tnn;uai, al Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
OKEECHOBEE VERA BEACH SEBP,€NG JUPITER STUART BELLE GLADE FORT PIERCE
(863) 763-6255 (772) 562-0022 (863) 3854493 (561) 744.1303 (772) 283-4540 (561) 924-3419 (772) 465-3890
JOB NAME:
JOB ADDRESS:
MA€ -INN ADDRESS:
EMAILADDRESS:
DIRECTIONS:
DATE:
CONTACT:
PHONE:-
LL
HONE:-
r = f-
MOBiLE,�=
FAX:
JOB#:
l- E •i•Y.I jl'i iT �.
fi
l'
STYLE FENCE
1� YES
POOL CODES I tgo i f f►
HEIGHT EtJOTAGE
HEIGHT FOOTAGE
WIRE I lr / r .'�y
LINE POST
a-
TERNIHNAL POST
SEUTAGE
CONCRE T E
{
POSTSPACE
T OPiBRACEIBO T T O(,i RAIL /
TENSION WIRE
�
BARBED INIRE
WALK GATE " SIt-E FRAME
WALK GATE "rS1?EFRAME
CJNCFtEsE
IVAL K G tJ, E POST
MDO)" DRIVE f
fDO)V't GATE - S[ZE r
FRAf� E
CONCRETE
DRIVE GATEPOST
€
r� ❑RIVEi
'7 GATE S[LE r FRAME ! ' 7
GONGRETE - a
DRIVE GATE POST - (Adron Fence is not responsible for being directed
CORE ❑RiLLIASPHALT to dig ontop of any.,
YttEoS
np�ar
r�ke.
d sprinkler lines.)
PRORLINES CLEARED t112r41 YES @USTONM P►1 L_
PROP. MARKS VISIBLE hg OSYCCST
BALANCE
SPECIAL INSTRUCTIONS l �•° t� , TERN—IS
THIS PRICE EFFECT' E UNT:i, 36'
L f-�
DISCOVEP
Ir. I 2111t,
mono
PeRSONNEL
INSTALLER :�F _._....,._._ •BATE ...� . _