HomeMy WebLinkAboutRobinsonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / q(l�n cXe;;f7 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
PERMIT TYPE:
PROPOSED tNP'ROVEIF/IEIVTjLOC%TCO�t:
Address: 5102 Hickory Drive, Fort Pierce, FL 34982
Property Tax ID #: 3402-608-0442-000-9
Site Plan Name: INDIAN RIVER ESTATES UNIT 07
Project Name:
Installing 21 T of 6' high Board on Board wood fence with one 10' double gate and one 5' gate
Lot No.2
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
Total Sq. Ft of Construction: 211
Cost of Construction: $ 3965.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
Name Robin Robinson
Address:5102 Hickory Drive
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.561-305-4372
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@gmaii.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.
DESIGN
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, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement. /,
re of Owner/ Lessee/Contractor as Agent for Owner
Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �� I COUNTY OF
The forgoing instrument was acknowledged before me
this
�J:'J day of _,-�u n1 20 by
Name of person making statement.
Personally Known _L,,-�OR Produced Identification
Type of Identification
Notary Publi "o
•<,�:. ' GABRIELLE HICKS
—7 a f
`� / ' - •• ., 4�� VMISSION # GG 069a
9 ?0` p EX�PII, EXPIRES: FebtU�Bgry2 2021
SOP••• Bonded 1hru Nota(Y PUNKi Undumi
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
The forgoing instrument was acknowledged before me
this ji� day of CT h 20670 by
Name of person making statement.
Personally Known S,� OR Produced Identification
Type of Identification
Produced
nature of Notary Pub l'
tQ ; : GABRIELLE HICKS
C mission No. 7 = ;,_ MY g9yMPStON # GG 069047
Febr
o;= EXPIRES: uary 2, 2021
S;}i ofoP`• Bonded ihru Notary PuMc Undetv,riter
SUPERVISREVIEWOR I REVIEW I V REVIEW'' EGETATION I S REVIEW I MANGRO
REV EWVE
A
ucnaa
Phone: 772 252 4907 Fax: 772 242 1232 PSL I
Licensed & Insured
11854 * Lic#-26866
email, ginaii"Zom
Name Robin Robinson
;Phonc!561-305-4372 Date05123120
Address 5102 Hickory Dr Job Site
Top Rail
vinal Bottom: Rail / Wire
....... . ..
Post Board
. .... ...............
i Stringer
4x4x8 2x4x8
Qty: _'(i) 5'(1) IIY double
Post;
. . ...... . ..... ... ... ...... --- ----
Total Footage: Tear Dawn Haut Away
Price:
Instructions`
121" of wood with (1) 6 and (1) 1(Y double gate - $2 C -2. >9
92'of wood - $1518
Contract Price
Dqrmsit S.
Balance
Additional Charges $
. .. . ... ............ ... .
Total Due S
. ....................
ACCEPTANCE OFPROPOSAL/ CONTRACT, The above Priced. Terrnsl 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, balan,= due upon
completion. A-Quatity Fence will apply 3% monthly service charge for any unpaid balatice, beginning thy; Sth (lay after in-
"tillation is complete. Customer Accepts full responsibility for any charges A- Qiiality Fence may incur in tile, collection of
this debt,
Price: good for
days Company Rep
Date Accepted Customer-,