HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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: Fence
P1. IN.PFtQUEMEN" i_OCal-CON:;
Address: 9525 Seaspray DR, Fort Pierce, FL 34945
Property Tax ID #: 2310-502-0009-000-2 Lot No.7
Site Plan Name: MORNINGSIDE PALM BREEZES CLUB PHASE 2A (PB 79-20) LOT 7 Block No.
Project Name:
Installing 169' of 6' PVC fence with two 5' gates
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: 169
Cost of Construction: $ 5176
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
NameShirlyn leannda George
Address: 9525 Seaspray Drive
City: Fort Pierce State;L
Zip Code: 34945 Fax:
Phone No. 561-312-4887
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 No 772-252-4907
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:
Name:
Address:
City:
Zip: Phone:_
Not Applicable
State:
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 fir4�nspection. If you intend to obtain financing, consult
wi�1 lender or an attorney before
commening"yGork oYrecordigg your Notice of Commencement. /% Je
of Owner/ Lessee/Contractor as Agent for Owner I Signature of
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF es-�. I_.-t_�. -ems
The forgoing instrument was acknowledged before me
this day of 20�90 by
Q.bi-i *--I Lc_- o -
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced A
(Signature off Notary PubTo- Sfate of Floridaall A 11
)
05G
7 °z••� �SHICKS
Commission No. = MYG� ISISIO
'N#GG 069047
r ;g' EXPIRES: February 2, 2021
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
The forgoing instrument was acknowledged before me
thisC _ day of _ i —k?\% , 26��y
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
ry Public- State of Florida47
)
:°Y�;; G`�l14I�F1LE -HICKS
fNY SIGN # GG 069047
EXPIRES: February 2, 2021
SUPERVISREVIEWOR I REV EW I VREVt WON ISE EV EWLE (NEVI WVE
Permit No.
State of Florida County of St. Lucie
NOTICE OF COMMENCEMENT
Tax Folio No. 2310-502-0009-000-2
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement.
Legal Description of Property: (and street address if available):
MORNINGSIDE PALM BREEZES CLUB PHASE 2A (PB 79-20) LOT 7
General description of improvement: Fence Installation
Owner information or Lessee information if the Lessee contracted for the improvement:
Name Shirlyn I eannda Gpnrne
Address 9525 Seaspray Drive., Fort Pierce, FL 34945
Interest in property: Owner
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name:A Quality Fencing, Inc. (Mark Sequin)
Contractor Address: 105 East Easy Street, Fort Pierce FL 34982 Phone Number: 772-252-4907
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address: Phone number:
Lender Name: NA
Lender's address:
one Number:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by!
713.13(1) (a)7., Florida Statutes:
Name: NA Phone Number:
Address:
In addition to himself or herself, Owner designates NA
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner:
of
to receive a cc
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payn
contractor, but will be 1 year from the date of recording unless a different date is specified)
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WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
mvlkAwledee And belief.
(Signature of Ov,#ier or Lessee, or Ovfner's or Lessee's Authorized Officer/Director/Partner/Manager
ry's Title/Office)
The foregoing instrument was acknowledged before me this 2 2 day of0d0b--r, , 202P
By Seve��da Fto�� —
lf RQtL cit, Cep e- as 110 for r r"Ac•
Nam6 f Person Type of authority (e.g. officer, trustee) Party on ehalf of whom instrument was executed
9�1 OLI
ersonally known_ or produced Identification
(Signature of Notary Public - State of Florida)�s+►� NotaryPUt*cSUMof FWids
(Print, Type, or Stamp Commissioned Name of icj velinda Flores pe of Identification produced wwCtrS r t ten Se.
� V Expires 08=2023 383162