HomeMy WebLinkAboutBuilding Permit ApplicationALL 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 ----
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPR0\7EME:'NT LOCATION: 'I1
Address: VO\ ;\- �DI W
Legal Description: �\vev:Pa VL \.th,±,::::> & lQ LB}-� \..D
Lot No. \ l ()
Block No. lo
Prnperty Tax ID#: \�= S\'S� -'C(D. 4:
Site Plan Name: �-------{) la 1,�
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Project Name: -----------------------------------
Setbacks Front. _ Back: Right Side: Left Side: _
O Windows/Doors
DRoof
Shutters
D Generator
ttiona wor to
DHVAC
DElectric
CONSTRUCTION INFORMATION: � ''")
Total Sq. Ft of Construction: _
Cost of Construction: $ Q\ l�
S'fi!; of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
City: Melbourne State: FL
Zip Code: _3_
2
9_3_5 Fax: 321-638-0086
Phone No. 321-636-2829
E-Mail: spacecoast@superiorfenceandrail.com
State or County License: _2_
9
5_8_9 _
Name Name:_T_
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Company: Superior Fence and Rail
_...,___.,J-!.---'---"-=1'-'----'-"-"'--'--'-"--',_,._.L...__ __ State: [L- Address: 2778 N Harbor City Blvd #102
OWNER/LESSEE: CONT�ACTOR:
Phone No. _
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
_ Not Applicable _ Not Applicable DESIGNER/ENGINEER:
Name: ------------------- Address: -----------------� City:-------------- State:
Zip: Phone:-----------
MORTGAGE COMPANY:
Name: _
Address: ------------------ City: State:
Zip:____ Phone: _
_ Not Applicable _Not Applicable FEE SIMPLE TITLE HOLDER:
Name: ------------------- Address: _
City:-------,-------------- Zip: Phone: _
BONDING COMPANY:
Name: _
Address: _
City: _
Zip: Phone: _
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
commencin work or recordin our Notice of Commence
STATE OF FLORID� �" • " , COUNTYOF __ �
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STATE OF FLORIDA � LU' COUNTY OF dU
(Name of person acknowledging)
The forgoing instrument was acknowledged before me
this� day of JLLQ(J , 20 Q by
-\Qcc :m 1>a. vd l lAJL,.,,
The .fP..!]Oing instrument was acknowledged before me
this_ lD day of ,) \,\. \'1 , 20 Qby
CA�DMnto &� (Nam of person acknowledging)
Personally Known OR Produced Id nti ication __)G_
Type of Identification Produced
STEPHANIE BROOKS
MY COMMISSION t FF 21� I)
EXPIRES: April 5, 2019. bUc Und8fWlilel1
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE# 4333183 OR BOOK 4022 PAGE 2618, Recorded 07/24/2017 10:24:22 AM
NOTICE OF COMMENCEMENT
STATE OF Florida
COUNTY OF � .s·; L.Uc,e:
THE UNDER_SIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the follow mg 111fonnat1011 rs provided in this Notice of Commeucerncut.
I.
2.
3.
fJysc1ription of property: (legal dc�crip · n of property. and street add
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ress if available) . _µ_Vlt y{\V'c- Unit 3 - -\w _Tyl 0, mAV,\.-St_,;t>Qv+_St_\..u.ldQ_ �
General description of improvement: \Y\ \ :z o ·"' LO · ,ilif::tI._i:tt::iu __ w 1 , -A,� > . ·-----
Owner information:
a. Name and address: CY(Vm//J, :5/!,LI!t.. I l(>J ·A1-tu vCt St I '."fuy\ St w u.o�
b. Phone number:
c. Name and address of fee simple titleholder ( if other than owner):
4. Contractor:
a. Name and address: Superior Fence and Rail of Brevard County, Inc. 2778 N Harbor City Blvd, Ste 102, Melbourne, FL 32935
b. Phone number: 321-636-2829 ------------------- 5. Surety:
a. Name and address: -'-'n'-'
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a=---------------------------------------
b. Amount of bond$....,....._ _
6. Lender:
a. Name and address:
b. Phone number:
7. Persons with the State of Florida designated by Owner upon whom notices or other documents 1113y be served as provided by Section 713.13( I )(a)7,
Florida Statutes:
a. Name and address: ...,n_.,,/_.,,a,...._ _
b. Phone number:
8. In addition to himself. Owner designates the following person/s) to receive a copy of the Lienors Notice as provided in Section 71.1.13(1 )(b),
Florida Statutes:
c. Phone number: -'n'-"-'
/
"----------------
a. Name and address: _ n/ a ·····--·· --········-··-··----··-· _ ····-····-·····-·-······ ···-···········--·······- ·-·---···-----··- ···········----·············· .. ··--····--·-·········--·--·-----·--······ .
b. Phone number: I!/•1...
9. Expiration date of notice olconunencemenr (the expiration date is one (I) year from the date of recording unless a different date is specified) .....
WARNINC TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER Till: EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART L SECTION 713.13, FLORIDA STATUTES. AND CAN RESULT
IN YOUR PA YLNG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCl:!MENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION IF YOU INTEND TO OBTAfN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCfNG WOR OR �
-
0 [)!N�
G
Y YOOU\JRR N ,OTICE OF COMMENCEMENT.
��-·
.. · � iature of Owner or Owner's Authorized OfticeriDircclor/Partn.cr/Manager
Signatory's TitleiOfficc Ou ill 0/ v
oC � l ) 0:J by
(type of authority .... e.g.
· whom instrument was executed ).
I orary Public - State of I
Print, type, or stamp commissioned name of Notary Public
� ?i'i'•,., SlEPHANIE BROOKS ll (,.r"'Jii.� MY COMMISSION# FF 217128 ��-�} EXPIRES: April 5, 2019 . '•,:,�;:;�'<!,· Bonded Th"' No� Public Ullde!ritB
Personally Known OR Prod.�
·
cd lclcnufication
Tvpe or ideruificarion produced ---------1p=,f-lc...,,..ji9-+-
-
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Verification pursuant to Section 92.525, Flori<.la Statutes
Under penalties of perjury. I declare that I have read the foregoing
BOUNDARY SURVEY
FOUND 5/8" IRON ROD NO 1.0.
1(BENT)
FOUND 5/8• IRON ROO
(�O I.D. �P.C. �--
cs , mvE CROSSING OVER PROPERTY r}JERLY SIDE OF LOT.
:NCES NEAR THE REAR AND : PROP;ERTY.
IPPLIED BY CITY WATER & SEWER
PLAT LIMITS
FOUND 5/8" IRON ROO NO I.D. -- /
__ .> SET 1/2"
IRON �OD LB #7893
RIVER PAR.l( lJN • IT J. BLK 6 LOT 16 ( (OR 3967-1420)
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SET 1 /2" IRON ROD LB #7893