HomeMy WebLinkAboutbuilding permitPlanning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 5009 Paleo Pines Cir, Ft. Pierce, FL 34951
Property Tax ID #: 1312-801-0141-000-0
Site Plan Name:
Project Name: Cichocki, Tom
DETAILED DESCRIPTION OF WORK:
Install 6' high PVC fence Ki 6 G
CONSTRUCTION INFORMATION:
Lot No 337 & 338
Block No.
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank Gas Piping _,,,` Shutters _ _ Windows/Doors
_,,,,,, Electric - Plumbing _ Sprinklers T Generator Roof Pitch
Total Sq, Ft of Construction:
Cost of Construction: S 4116'SO r :s
Sq. Ft. of First Floor:
Utilities: —Sewer Septic Building Height:
OWNERAESSiEE:
CONTRACTOR:
Name Thomas Cichocki
Name; Geary S. Adams Jr.
company: Adams Fence 2 LLC
Address: 5009 Paleo Pines Cir
City: Ft. Pierce State: FI
Address:1206 8th St
Zip Code: 34951 Fax:
City: Vero Beach State: FL
Phone No. 772-203-8957
Zip Code: 32962 Fax:
Phone No 772-999-2038
E-Mail elizabeth(a),adamsfencecompany com
E-Mail: tomandgina54@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License 27Q70
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable Pp
MORTGAGE COMPANY:
Applicable
Name:
Name:
•.•.,Not
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
i
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 JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
f
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Florida
COUNTY OF Indian River
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledg before me
�
this 1 Sth day of February Epp by
this1 Othday of February , �p by
Geary S. Adams Jr.
Geary S. Adams, Jr.
Name of person making statement.
Name of person making statement.
Personally Known -,/ — OR Produced Identification
Personally Known �.... OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Not
j.
(Signature ort a F
ELIZABETH EVANS
Commission No. '�.'' «", Notary Public/ QjFlorida
;••'"rS�Lla ELIZABETH EVANS
Cammisso **�*^•= NotaryPubiirStateofFlorid
= �ea.�
Commission#69142
ti��gF,. My Comm. Expires May4,2020
. EcrossMn#FF969142
My Comm, Expires May4,2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
ow
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Te—V.2/7119
Adams Fence2, LLC
1206 8th St
Vero Beach, FL 32962-1401
+1 7729992038 elizabeth@adamsfencecompany.com
a
. --"
ADDRESS
Tom Cichocki
5009 Paleo Pines Cir
FTP, FI 34951 772-203-8957
SHIP TO
Tom Cichocki
5009 Paleo Pines Cir
FTP, FI 34951 772-203-8957
ACTIVITY
Services
Install - 84' - 6' Adobe Full Privacy Vinyl Fencing
Services
Permit & NOC ( Included )
All posts concreted
ESTIMATE # 7124
DATE 02/07/2020
CITY BATE:' AMOUNT,
2,650.00
------------------------------ ----------------------------------------------------------------------------------------------------------------------
Price Includes: Material, Labor, And Taxes TOTAL $2,650.00
Please sign, date and return this estimate with a copy of your survey & a
50% deposit upon acceptance,
This price reflects a 3% discount for cash or check transactions.
The 3% discount does not apply for credit card purchases.
Adams Fence is not re onsible for any damage to sprinklers or
underground utilities.
Initials:
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