HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
COUNTY
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 TYPE:
PROPOSED INPROVfN1EIVT,LCtCATiOW
Address: 5203 SUNSET BLVD
Property Tax ID #: 3402-608-0472-000-8
Site Plan Name: INDIAN RIVER ESTATES -UNIT 07 (MAP 34/02S)
Project Name:
Installing 210'of 5' chain link fence with one 5' gate and 24' of 5' PVC and one 4' PVC gate
Lot No. 32
Block No. 52
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 234
Cost of Construction: $ 4090.00
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
NameCecily N Jarvis
Address:5203 SUNSET BLVD
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-240-0953
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Mark Seguin
Company: A Quality Fencing, Inc.
Address: 105 East easy street
City: Fort. Pierce, FL State: FL
Zip Code: 34982 Fax:
Phone No 772-252-4907
E -Mail aqualityfencing@gmail.com
State or County License 26866
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.
I
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commerwing work or recordine vour Notice of Commencement.
re of Owner/ Lessee/Contractor as Agent for Owner I Signatbre of
Holder
STATE OF FLORIDA. , I STATE OF FLORIDA
COUNTY OF �.?t L COUNTY OF 3� • Lc ���; �i
The forgoing instrument was acknowledged before me
this1�day of )—/T)9/Z—, 20� by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida
w.rN.vr�ur�rrw
Commission No.t��'z25�t7 �*'+RI'tl).WRIELIEWD
REVIEWS I
FRONT COUN ER I RONING UPERVIS EVIEW I S REVIEW
DATE
RECEIVED
COMPLETED
The forgoing instrum n was acknowledged before me
this L day of 1410A 20c3Z) by
Name of person making st/aterT ent.
Personally Known V OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
ais on No. :Au" RIELLE HICKS
2021 �
n—s MY COMMISSION # GG 0690
PLANS I VEGETATION
REVIEW REVIEW
GABRIELLE HICKS
MY COMMISSION # GG 069047
GABRIELLE H
MY COMMISSION #
Bonded ihu Notary Public
Phone: 772 252 4947 * Fax: 772 242 1232 * PSL13-11854 * Lie #-26866
Licensed & Insured email:
Name t ;ecily Phone 772-240-0953 Date 04/11/20
Address 5203, Sunset Blvd. Job Site
city Fort Pierce FL 3 `f 98 Z city
Wood Ornamental X FZ.otage,,) Height Type Spacing Color
24 gaarrlb 6'0.c. White
FVCX Chain Link 210' it 7 10'o.c. Black
Gauge 1 /Z Top Rail 1 3/8 F ?s
Terminal Z 1 2X7 Bottom: Rail / Wire r Z�
7
Line Post2X7 Board
Post Stringer
!
tq �
I. Gates t IG c�
i Qty_ (1) 4' PVC (1) 5' Chain link
Type. �ig Iwo0 se,
Post
Tear Down Haul Away
Total Footage: _ ?
Price:
Other TnsttuchonspV- C Qmr^-;ov% Co fv+(rr,`4 9
� $40900
b2 0land s�,le S'��{3 tIy Deposit $sP _
Contract Price
40 wS
h
KT Balance
I
Permit a
Additional Charges $
j Total Due $
ACCEPTANCE OF PROPOSAL/ CONTRACT: The above prices. Terms/ Conditions on the reverse side are satisfactory and
hereby accepted. Payment will be made as specified in contract. 50%. Deposit due upon signing of contract, balance due upon
completion. A -Quality Fence will apply 3% monthly service charge for any unpaid balance, beginning the 5th day after in-
stallation is complete. Customer accepts full responsibility for any charges A- Quality Fence may incur in the collection of
this debt.
Price good for
Date Accepted -5/-:L-7 /.;1-D ;)L—p �!
days Company Rep
Customer ��