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HomeMy WebLinkAboutLezniewiczAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 0'7 (IUn C7 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: RR'OPOSE©`t'I�PR01/EMNI-LOCATlQN''', , Address: 6905 Ocala Ave, Fort Pierce, FL 34951 Property Tax ID #: 1301-612-0278-000-5 Site Plan Name: Lakewood Park Unit 10 Project Name: Installing 282'of 5' chain link fence with one 4' gate and one 10' double gate CONST11'U tOt�E:,' Additional work to be performed under this permit —check all that apply: Lot No.16 Block No. 130 _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: 282 Cost of Construction: $ 4680.00 NameAudrey Lezniewicz Address:6905 Ocala Ave City: Fort Pierce State: Zip Code: 34951 Fax: Phone No.772-713-9232 Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: _ 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: MORTGAGE COMPANY: _ Not Applicable Name:_ Address: City: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Name: Name:_ Address: Address: City: Zip:. Phone: City:_ Zip: Phone: Not Applicable 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 1 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 fySt inspection. If you intend to obtain financing, consult with lender or an attorney before commencW work or recording your Notice of Commencemegt.,t of Owner/ as Agent for Owner I Signature of Contractor/License Holder STATE OF FLORIDA c , I STATE OF FLORID COUNTY OF ( 3t— ue° COUNTY OF < < Lt.ea:, The for oing instruMgnt was acknowledged before me The forgoing instrument was acknowledged before me this day of UL10c6 2090 by this / day of ( �.� j , 20�C� by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of �I..,�....�.r...++ t�B?yg GABRIELL Commission No.t�'�c� i��$I ) MYCOMMISSIO EXPIRES: Fet a Bor W Thou Notary I ,��Ti.OF �tQ�`• REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED Personally Known R Produced Identification Type of Identification Produced Notarryy Public- State of Florida HICKS C� 0- .rs0W7on o. ry 2,1021 0 un"r PLANS VEGETATION SEE 'trYPu GABRIELLE HICK # G '9047 COMMISSION EXPIRES: February 2, 021 re REVIEW I REVIEW I REVIEW I REVIEW Phone: 772 252 4907 * Fax: 772 242 1232 * PSL13-1 1854 * Lie #-26966 Licensed & lttsured email: aqualit.yttncin uvq gmail.com dame Aud rely L.- Thone 772-713-9232 Date 05/20/20 Address 6905 cala Ave ! Job Site city Fort Pierce city Wood Ornamental Footage Height 5' Gates Qts,. (1) 4' (1) 10' double Type: Post Tear Down Haul Away Total Footage: 1.. .�, Price: Other Instructions: Type Spacing Color 10'o.c. Black -_ Contract Price $ 4680 Deposit � --- --- --- Balance $ Permit - Additional Charges $ 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 days Company Rep C � Customer