HomeMy WebLinkAboutCollinsAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
!4 Date: -JLto o'2C c> 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 Commercial Residential X
PERMITTYPE:
PROPOSIE ' NPRE)UEMENT �OCATlON
Address: 6007 Hickory Drive, Fort Pierce, FL 34982
Property Tax ID #: 3402-609-0633-000-8
Site Plan Name: INDIAN RIVER ESTATES UNIT 08 (0.46 AC - 20,000 SF) (MAP 34/11S)
Project Name:
Lot No. 27 &28
Block No. 69
J DETAi'LED DESCRIPTION OF WORK:
Installing 419'of 6' high Board on Board wood fence with one 9' double gate and two 6' gates
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: 419
Cost of Construction: $ 7355.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Name Christopher Donald Collins
Address:6007 Hickory Drive
City: Fort Pierce State: FL
Zip Code: 34982
Fax:
Phone No.772-201-1352
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 No772-252-4907
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.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
Not Applicable
State:
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, consu}t with lender or an attorney before
commeUting vyrork or recording your Notice of Commencement.
lu 4---
wri -, � I (
sigrifiture of Owner/ ess a/Contractor as Agent for Owner
S gn ure of Contract /Li nse Holder
STATE OF FLORIDA'@'
STATE OF FLORIDA
COUNTY OF (__>�
COUNTY OF a . L. i 1C ,
The forgoing instrumgDt was acknowledged before me
th is day of �'1 20�L�by
The for oing instrument was acknowledged before me
this day of �(� 17 20r�L> by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced identification
Personally Known O Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Signature of Notary Public-
ture of Notary ubliGABRIELLE
HICKS
No. ' . �:
• f�'�+AMISSION # GG 06
.,; ,, • EXPIRES: February 2, 202t
•F; Fro,
I'na
' qd o'LLECommission
% ; "" M45MM SS HICKS
mission No. ISSION # GG 06904
=; P EXPIRES: February 2 i
3,Fo .. c �. 202
REVIEWS
FRONT
PLANS
VEGETATION
SEA TURTLE
MANGRO
ZONING
SUPERVISOR
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 9/Zb/18
A
Phone: 772 252 4907 * Fax: 772 242 1232 * PSL 1 3- 1 t RS4 * Lin #-26866
Liecnsed.tt insaiwl
cmaib
Name Donnie Collins (_C^r 115J-Oeherc) Mone: f fL Lu t- t oac I
Address6007 Hickory Dr.
lob site �
city Fort Pierce
City
Wood X Ornamental
Footage Height Type Spacing Color
419' g' Board on Vo.c,
PVC Chain Link
Board
�a
80'
Gauge Top Rai}
Terminal Bottom: Rail / Wire
90
Line Post Board
`p
Post 4X4X8 Stringer 2X4X8
Gates
to
may._. .....t)9��6'
'
!!
TYPr
{Z.
Post:_ -
a
Tear Down Haul Away
609 6'9
Total Footage8�
Pricc:
other Instructions:
Contract Price 7355
Deposit S
Balance S
Permit i
A"Oofial Chats S
Total Due S
ACCFPTANCB OFPROPOSAV t?O {
t on iheioverse sldo are satisfactory end
hereby eccepw& Pa to wib be madeoas
Mf;
�' ai$niag Orcontract. balance dues Upon
comptcuon A-(jaei►ty Pencewill
stallation is complete. Customer
balar, beginning the Sib day after ul-
ty Fence may in= in the CO of
this debt.
�`
Price good for
,�
E
Date Accepted
f
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