HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
iii .. ' -� ..... 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED l!MPROYEMENT L0GATION,: . ;:;' ' if,;;, ' tl!!\ %
Address: ru44 �IY\Q Cm.R) \_OnQ I '1?DY+ � � Ail C .l:f ,YL�4S '-' I
Legal Description: £�no. hn�\�,,0 t�hl-\- Q'"\J7 � \ Dt=)L -�- """
Property Tax ID#: Dld -'.EQ� - Cbl�- OOD-� Lot No. '2-
Site Plan Name: � th Vk::: ('SD{'\ Block No.
l1 \ I
Project Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILEO;'fDESCRIRTION�p{'W,6RK:w ',· ,.,./'"'' sn I
\'03\-{A\ \ '2-lQ. at CQ · \\re.. fehce
I CONSTRUCTION INFORMATION: %
Additional work to bortormed under this permit - check all LJ apply: D Windows/Doors L DHVAC _ Gas Tank DGas Piping _ Shutters
DElectric D Plumbing D Sprinklers D Generator DRoof
Total Sq. Ft of Construction: so of First Floor:
Cost of Construction:$ �:JD Utilities: _ Sewer D Septic Building Height:
OWNER/LESSE�: .':'., .... '?k,• • Y" ·,: ,,·rn 6 , ... C,ONT�AQQR;:! c
.,, ,Hi %- M ' '
Name �stQy ±h,vv , 6,CV'"'\ Name: Todd Paroline
Address: lD1QM-f\Y12_ � �Q,ne) Company: Superior Fence and Rail
city: �Y\- � Luue� State: 8-.. Address: 2778 N Harbor City Blvd #102
Zip Code: ;).\94-S Fax: City: Melbourne State:�
Phone No. Zip Code: 32935 Fax: 321-638-0086
E-Mail: Phone No. 321-636-2829
Fill in fee simple Title Holder on next page ( if different E-Ma ii: spacecoast@superiorfenceandrail.com
from the Owner listed above) State or County License: 29589
If value of construction is· $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIQN LIEN LAW INPORM.ZX:TION:
DESIGNER/ENGINEER:
Name: ------------------- Address: ·------------------ City: State:
Zip: Phone:------------
FEE SIMPLE TITLE HOLDER:
Name: _
Address:----------------
City:------------------- Zip: Phone: _
MORTGAGE COMPANY:
Name: _
Address: ------------------ City: State:
Zip: Phone: _
BONDING COMPANY:
Name: _
Address: _
City: _
Zip: Phone: _
_ Not Applicable _ Not Applicable
_ Not Applicable _Not Applicable
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
com encin work or record in our Notice of Commencement.
STA TE OF FLORID�
COUNTYOF\ LIC,c\(/
The forgoing instrument was acknowledged before me
this il day of ,ju ''>f , 20 Qby
,,•··�"�"'•, STEPHANIE BROOl<S
Com miss �
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·�. M'I COMMISSION# FF 217\�ea I EXPIRES. April 5, 2019 . '%1,,,, trZ• Bonded Thru Nota,:y Public Undel'Mrilers 'JJ,Rr,�"''
Revised 07/15/2014
STATE OF FLORIDA�\_ ) COUNTY OF '- JlC) R
The forgoing instrum� was acknowledged before me
this� day of -l '\f , 20 Q by
Name of person acknowledging)
REVIEWS
DATE
COMPLETE
INITIALS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE# 4330134 OR BOOK 4019 PAGE 1713, Recorded 07/14/2017 12:33:56 PM
NOTICF: or COMMENCEMENT
I
-�
Superior Fence and Rail of Brevard County, Inc. 2778 N Harbor City Blvd, Ste 102, Melbourne, FL
3�935
321-636-2829
Name mid address:
Phone number: b.
�scription o\propcrty: (legal description of property, �nd strcetadoress if available) --�n1t_rre.,_t�.12_,-1tio-M..JJ.oc0.x:v lu ro lli±-S:: wue,Ft
General description of improvement: JD�1LJ.2.LQ · _ cf u _· j)\J[ _-fb,-i�e_. ·-' ------
Owner information:
a. Name and address £:S ];J_t;g_ f-lA9<.RLS6µ JD\044- \? i�. CuJe , l(lno ,Puv+� Luuo Ft_
b. Phone number: �4-5
c, Name and address of fee simple titleholder (if other than owner):
I
a.
Contractor:
ST ATE OF Florida
COUNTY OF � "ST L, ,c ,e:
THE UNDERSIGNED hereby· uives 01· • th t I · ·11 b · · .: . · . . "'. es u ice a nnproverneut w1 e made to certam real property, and ,11 accordance with Chapter 713, Florida Statutes, the following information is provided iu this Notice of Commencement.
I.
2.
3.
4.
c. Phone number:-'-"'-"'---------------'-
5. Surety:
a. Name and address: n/a ������������������������������----!�
b. Amount of bond $�O�{_a _
6. Lender:
a. Name and address: ..nLa_ _
b. Phone number: -"�'�a�------------------
7. Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1 )(a) ,
f'lorida Statutes: I
a. Name and address: _n_/_a -+-
b. Phone number:
8. In addition to himself. Owner designates the following personts) to receive a copy of the Lienor's Notice as provided in Section 7U.13(1)(b),
Florida Statutes:
a. Name and address: .n/a _ __ ._ - __ .. _ _ - ._ -- .. --- .. - - - - ------ - -- .. ,, ,, _
b. Phone number: n/a ,, __ --................ . . - - ..
9. Expiration date of notice ofcommencement (the expiration date is one (l ) year from the date of recording unless 11 different date is specifiedj ,
WARNING TO OWN.ER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXl'IRATlON OF TIIE NOTICE OF COMMENCEME: T
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART I. SECTION 713.13, FLORIDA STATUTES. AND CAN RESU T
IN YOUR PA YING TWICE FOR IMPROVEMENTS TO YOLiR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED A, l)
POSTED ON THE JOB SITE BEFORE THE FIRST rNSPECTION. ff YQU rNTEND TO ODTArN FrNANCING, CONSULT \\'ITH YOl
LENDER OR AN ATTORNEY BEFORE COMMENCING \V � OF COMMENCEMENT.
STEPHANIE BROOKS
MY COMMISSION t FF 217128 EXPIRES: April 5, 2019
llondod Thru � Public Undorwriloll
Signatory's Title/Office --0
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The foregoing mstrument was ackuow lodged before me this _ l Q __ day ol_ .__j\ .A C}Q__, , '2..01_l__ by �_JQ.t_r \ 'Sill._ (name ol person) as_£_� -----·-· _ .... _ (type ofauthority .... e.g.
officer, trustee, attorney in fact) for _ _ (name of party 01 el lfof o 1 instrument was executed). I
I N< ary Public - Stale of Fl rida I Pru , re, or stamp commissioned name : 1 otary Public
Personally Known --r"' Of- 3 Pt_>d�cAl!i:�11 VA J)L
Tvpe of identification produced _ __1_
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Verification pur;;uant to Section 92.525, Florida Statutes
Under penalties of perjury. I declare that I have read the foregoing ct· stated in it are true to the best of my knowledge and belief.
SHEET J OP 2 {SURVEY SKETCH/--------- SURVEY NOT COMPLETE WITHOUT ALL SHEETS
MAP OF BOUNDARY SURVEY PREPARED FOR ANTHONY JAMES HARRISON AND ESTHER F. HARRISON
N.S.L.R.W.C.D. CANAL
N89'30'54'E 150.00'
S89'30'54'\J
507.32'
FlR 5/8" (NO ID)
30' D&U.E.
FIR 5/8"
(NO ID) BEARING
BASIS
LOT 11
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NOTES: PROnRrY APP BARS 'TO BB SERVICSD BY PUBUC vr'IIJ11ES.
AU 88/tRJHGS AND DISTANCES SHOWl'l 11.R& RZOORD M{D MHASUR6D, UNLESS 011!8RW1SE SHOWN.
P.U.6:D.& • PfJDUC VTTUTY AND DR.IJN.ACB BA.SlfUBNT
Bt«RJHGS ARB DA.SBD UPON THB RECORD BF.AR/ND /tOR TH& 1,"0RmERlY RJGHT DP W.A Y LJN1!, OP PINE CONB LA.NE.
GRArHIC 5CALE. J:-90, £.
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P11itDDA're · J2/ IS/2016
JOBt. l6J2-021 RZVISJON- Know It Now, Inc.
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--------"°15220 US HIGHWAY 1, #140 VERO BEACH, FL 32967
FLORIDA BUSINESS CBRT!l'ICAt'E OF AUTHORIZATION NUMBER LB esra Phone (772) 925-2250