HomeMy WebLinkAboutBuilding Permit Application.... �:, • is " ! •' .... . `:i f
Date: 8/1120
Permit Number:
PERMITTYPE: Fence
Address: 5204 Eagle Dr
Property Tax iD #: 1312-801-0016-000-5 Lot No. 213
Site Pian Name:
Project Name: Morse
DETAILED DESCRIPTION OF WORK:
Install - 5' high wood fence (2) 5' wide walk 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 e Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,684.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Susan Morse
Name: Geary S. Adams Jr.
Address:5204 Eagle Dr
Company: Adams Fence 2 LLQ
Address: 1206 8th St
City: Ft. Pierce State: EL-
Zip Code: 34951 Fax:
city: Vero Beach State: FL
Phone No. 772-332-0011
Zip Code: 32962 Fax:
E -Mail: rickmorse M-yahoo.com
Phone No 772-999-2038
E -Mail elizabeth a)adamsfe!2_c fan Com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License 27078
If value of construction is $2500 or more, a RECORDED Notice oT Commencement Is requirea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
' City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
Name:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIVIT: 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.
5t. Lucie Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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 JOB SITE 13EFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Rev. Z/7/19
MICHAEL ADDEO
MY COMMISSION # GG035606
'',AVF EXPIRES October 04.2020
MICHAEL ADDEO
MY COMMISSION # G0035606
rt
XPiRES October 04, 2020
Geary S Adams"`"" ---
Signature of Owner/ Lessee/S22Lraggr as Agent for Owner
Signature of Contractor/Li older
STATE OF FLORIDA
COUNTY OF ands G-)
STATE OF FLORIDA
COUNTY OF Indian River
The f ding instrument was acknowledged before me
'ZIU
! The farg ing instrument was acknowledged before me
this day of J�C?�c$ �- 20 by
this _JL of August , 2020 by
G t1 S Gr,--
C -ey�j S ",a^ %
Name of person making statement.
Name of person making statement.
Personally Known __X_ OR Produced Identification
Personally Known VOR Produced identification
Type of Identification
Type of Identification
Produced
Produced
(Sig a r otary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No, GG 908037 (Seal)
REVIEWS FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. Z/7/19
MICHAEL ADDEO
MY COMMISSION # GG035606
'',AVF EXPIRES October 04.2020
MICHAEL ADDEO
MY COMMISSION # G0035606
rt
XPiRES October 04, 2020
AdamS Fe 2, LLQ
1206 8th St
Vera Reach., FL 32962-1401
woou-RVB „&Ntgeiipk Ari
+i 7729992038
info@adarnsfencecornpany.corn '� "' ' """" •
ADDRESS ESTIMATE # 7942
Rich Morse DATE 07/24/2020
5204 Eagle Dr
FTP, FI 34951772-332-0011
Services 2,684.00
Install - 5' Board on Board Wooden Fencing -
Built On -Site
2 - 5' Wide Gates Built w/Aluminum Frames
Services 150.00
Permit & NOC
Removal and haul of old chainlink fencing
included
Repair 21' - Galvanized Top -Rail • Rear fence
Line
Material, Labor, and Taxes are all included in pxice. TOTAL^''834e0
Please sign, date and return this estimate with a copy of your surrey &
a 50% deposit upon acceptance.
*surveys are not needed for repairs*
This price reflects a 3% discount for cash or check transactions. The
3% discount does NOT apply for credit card transactions.
Adams f=ence is not responsible for any damage to sprinklers or
damage to underground utilities.
Accepted By ✓ i z� �C - fl' Accepted Bate �—�7