HomeMy WebLinkAboutMultonAll APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: %'f/L -U0 � p 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 I"NPaOVt'r T t_QCATlON
Address: 1403 BRADLEY ST
Property Tax ID #: 3402-608-0441-000-2 Lot No.1
Site Plan Name: NDIAN RIVER ESTATES -UNIT 07- BILK 52 LOT 1 (MAP 34/02S) Block No. 52
Project Name:
Installing 145' of 6 foot high board on board wood fence
CONSTRUCT {ON tIVFd11 ATtOIU.
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: 145
Cost of Construction: $ 2394.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Name Robert Vincent Moulton Jr
Address:1403 BRADLEY ST
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.772580-9721
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
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable I BONDING COMPANY: Not Applicable
Name:
Name:_
Address:
Address:
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 jobsite
before the fist inspection. If you intend to obtain financing, consult with lender or an attorney before
' commencwork or rec din our Notice of Commencement. 112
igna ure of Owner/ Lessee/Contractor as Agent for Owner
Sign ture of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA�1
COUNTY OF��. LAaC
COUNTY OF r_Ski e,
The forgoing instrument was acknowledged before me
this � day of _) '1 , 2090 bby�
The forgoing instrument was acknowledged before me
this _!-_7_ day of �/ ��C 1 i�1 20c9b by
j7SIL11
�b (: i t�l (E= 1
Name of person making statement.
Personally Known OR Produced Identification
Name of person making
//statement.
Personally Known( OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Publ
ibe4 "T sY GA6RiELLE HICKS
Commission No. � M ( ISSION#GG06�t
PIRE� 2 2021
�,� dnded Thu
ignature of Notary Public-
6L�Q//,,',,�d ' /
mmissionl�lo.
'3fi 'v ,, GABRIELLE HICKS
M�1ISSION#GGO680q
:'r� oQ,: EXPIRES: February 2, 2021
o'�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 9/26/18
QUA
Oft
Phone- Phone- 772 252 4907 * Fax: 772 241 1232 * PSi,I:3Mt I8;54 t:,ic 4-2686
Lscensed lns ati cl math�?san i v'wn
Name Robert Multon Phone, 772-530-97'21 Date 05/26/20
Address .lob Site
_.........
city Fort Pierce city
Wood
�>c Ornamental Foola e Height Tyke acir�� Colo
4I 9 'Chairs Ltnk 14 S' 6 ISoard on ' Vo.c.
and
Gauge Top Ill
i
Temxlnal Bottom: Bail i Wire
Line Post Board
Post Stringgr
3
.v U nitewnsca , x.+s-e- x-mm� m.+w+mm�aww+++.i..�.-- .�.xxt tuwwrvw.meu vmn
iarat�4
Qty .......... _ w
Type. - - r�
Po � :.: _._.__ _ ....:: _ �t7
w.: _......_._... _,. ----------
Tear Down Haul Away
Total Footage:
Price;
Other instruct orts.�C ontract Price 2394
30
115 1 Deposit
Balance S
a Permit
Additional C harg" 1
Total Due
ACCEPTANCE OFPROPOSAL/ CONTRACT- The above prices. Tcrrmi Conditions can thereverse side are satisfactory and
hereby accepted. payment will be made as sf ecified in c outset. »ail /o. i)eposit clue aspen signing of contract, balance dare upon
completion.. A --Quality Fence will apply 3monthly scrvricc charge for any unpaid balance, beginning the 5th clay after in-
stallation is complete. Customer accepts fall responsibility fear any charges A- Qua;$ity Pearce may incur in the cnl$ccticara of
this debt.
Trice good for ,._.. _ _... clays Company Rep
s%
Date Accepted �� .^ �� _,J_, Customer (`