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ALL 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
Address: Y-'+ u:
Legal Description: w:x:\vx:n f,\Vtv �1:C\:res
Property Tax ID#: \24:02. - \OC9- Q\t)\.O -DJ)-S
Site. Plan Name, � :]Lu�
Project Name: -3:?o.MlO... �- <'
Setbacks Front Back: Right Side: Left Side: _
Lot No. �
Block No. 5.S
Building Height: _
D Windows/Doors
DRoof
S� of First Floor:
Utilities: LJ Sewer D Septic
er t rs permit - c ec a app y:
OGas Piping Shutters D Sprinklers D Generator
itiona wor to
DHVAC
DElectric
Total Sq. Ft of Construction: _
Cost of Construction:$ __..ffi2l
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_
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__ �.,.__ _
OWNER/LESSEE: °㤊ċCONTRACTOR:
State:�
Name-=-.1,,,l.>!l.A-..A.l,,,,1��..,.._.�,:::--.--------
Address: ffiCT) ti)� � J)c
City: \3= Bf,v( 0 State: _f:L_.
Zip Code: ,::AfJ'd l, Fax: _
Phone No. _
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Todd Paroline
Company: Superior Fence and Rail
Address: 2778 N Harbor City Blvd #15)2
City: Melbourne
Zip code: _3_
2
9_3_5 Fax: 321-638-0086
Phone No. 321-636-2829
E-M a i I: spacecoast@superiorfenceandrail.com
State or County License: _2_
9
5_8_9 _
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
- -�
DESIGNER/ENGINEER:
Name: ------------------� Address: ------------------ City:------------- State:
Zip: Phone:-----------
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Addres-
s
:------------------
City: -------,-------------- Zip: Phone: _
MORTGAGE COMPANY:
Name: _ Address: _
City: State:
Zip: Phone: _
BONDING COMPANY:
Name: _
Address: _
City: _
Zip: Phone: _
_ 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
commencin work or record in our Notice of Commencement.
STATE OF FLORIDA3\-: lu COUNTY OF \. (,\()
The forgoing instrume�t was acknowledged before me
this J.Q_ day of <J IA,\'-{ , 20 l.J_by
Personally Known OR Produ�d l_g_entification x__
Type of Identification Produced \:1d--)< --���==�-----
STATE OF FLORIDA8=
COUNTY OF ,»ou
The forgoing instrumeras acknowledged before me
this .B:._ day of , \A, \\.f , 20 []_ by
(Name of person acknowledging)
Personally Known Y: OR Produced Identification _
Type of Identification Produced _
REVIEWS
DATE
COMPLETE
INITIALS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
JOSEPH E. SMITH,
FILE# 4331430
CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
OR BOOK 4021 PAGE 163, Recorded 07/18/2017 04:48:01 PM
NOTICE OF COMMENCEMENT
ST A TE OF 82.riga._
COUNTY OF ire acd Sf: l \ 2 C/ 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 following information is provided in this Notice of Comruencerneut.
I De ·c . t. 1· ty (I I d · · · 6'"'5:D Ill UA-U � . · s np ion o proper. : ega cscnpuon 01 rroKny. and street address ir a�lab1c1 J
1cd11'.lh R.wrtmbt-s \AYJ1+ �__JI�_<cf2 l:&_o_�_e·v(f' �F.L_.2418.L. _
2. General description of improvement: I b'10 \ I 2( o-:J cf: l{ ?vc Fe 1-t..e) \>,)\I -4. '4 \-0'.::,' Cktk . ... --- -
3. Owner information: U
a. Name and address: -fil U \cl K llftJ 1 5� t:Dlh'..:...-\::Lt:.lJ, , .£-t.£1('1:Lf' J � L�l..
b. Phone number: J
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:
c. Phone number: ...JOUJ/"'a.__ __ �--------·----·--�--
a. Name and address: n/a
b, Amount of bond$ n/a
6. Lender:
a. Name and address:
b. Phone number: n/a
7. Person, with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13( I )(a)7,
Florida Statutes:
a. Name and address: �"�'�a�------------------------------------
b. Phone number: _.n..,,._..,'-------------------
8. In addition to himself. Owner designates the following person(s) ro receive a copy of the Lienor's Notice as provided in Section 713.13(1l(b),
Florida Statutes:
a.
b.
Name and address:
Phone number:
.n/a ...
..n/ a......... ··-·-·····-·--···-·----··-···--·-··--·-·-·······-·····- -·---··-··--·-- ---····--·-··-··--········-
9. Expiration dare of notice ofcommencemenr (the expiration date is one Il ) year from the dare of recording unless a different date is specified) .. --·-·····
WARNING TO OWNER: ANY PA \'MENTS MADE 13Y THE OWNER AfTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART l. SECTION 713.13, FLORLDA STATUTES. AND CAN RESULT
IN YOUR PA YING TWICE FOR .IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST !3E RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FfNANCfNG, CONSULT WJTH YOUR
LENDER OR AN A HORNEY BEFORE COMMENCING WO R RE .'0 G.: 0 JS;E OF COMMENCEMENT.
Si!,�iature of Owner <>r Owner's Authorized Officer/Director/Partner/Manager
Signatory's Titlei0t1ice _QN
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tit, mPHR BROOKS {.,· ,.\ MY COMMISSION t FF 217121
�· 1 EXPIRES: April 5, 2019 �Rf.� """'"TIIN Nol"Y �utk Und--. Personally Known _
Type of identification produced
OR Produced Identification -<-x-"'---- 'D,;\):l
Verification pursuant to Section 92.525. Florida Statutes
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--------- ------------ ... §!JJ}.!iT_J_Q£.1.JSURVEY__§!i_ETCHl _; __ ··-··:·· SURVEY NOT COMPl,ETE WITHOUT su. SHEETS MAP OF BOUNDARY SURVEY PREPARED FOR CI-IRIS AND PAULA RILEY PROPERTY FRONT VIEW
LOT 27 BLOCK 55
LOT 29
BLOCK 55
FIR 5/8"
(NO ID)
45.1'
LOT 7 BLOCK 55
c 40.6' �- · ..
.;M°"'.i,.,; ..,.
·oo·oo· E N
r 90·00·00· w
LOT 9 BLOCK 55
w
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8 8
vi FIR 5/8"
(NO ID) 30.00'
0
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0 co >- LOT B -1 � �-i'� BLOCK 55 ·,o 1111 (): �-0�
e---,·� 3' �I � 0 �- 0 0 'iPJ/:9t.Jlf I 0 b
I z 29.0'
r 30.06'7" .
I
!EARING BASIS: BEARINGS ARE BASED UPON THE PLAT BEARING
'OR THE EASTERLY RIGHT OF WAY LINE OF MYRTLE DRTVE.
3TES.
� IV'l'EARS TO RE SERVTCW OY PUBLJC t/TJUITE;S.
I, IJF:AHINOS A.Nn DISTANCES SHOWN ARP. Pl.AT AND MF.ASVRED.
l.4D.E. • PUOl.lC UTIL/7Y AND DRAINltGE eA,t;FMBNT
I 5' JO' 60'
I"� ')0'
GRAFt-11C SCALE.
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BASEPOINT SURVEYORS
PROFESSIONAL SURVEYING AND MAPPING
WWW.BASEPOINTSURVEYORS. COM
P.O. BOX 691152, Vero Beach, FL 32969
Phone (888) 220"6805
Fax (885) 2 l 9"5273
SCAL.e · r • .10·
DRA lVN BY· M. IV.S. W DATE· IQ/ JJ(ZQJ�