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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:-------- Permit Number: --------- Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ---- Residential ---- PERMIT APPLICATION FOR: Fence PROPOSED IMPROVEMENT LOCATl©N �·· .·•. .: ; . . : .. , . . . :··:.::.: .. :.-.:,,,,;.:."..: Address: Lo201 0\mrc\w five ,\='.'rP1e._vc( ) FL f>tg§2.. 9 36 40 E 1/2 OF N 30 AC OF NE 1/4 OF SE 1/4-LESS N 7.5 AC AND Legal Description: LESS E 33 FT FOR RD R/W AND LESS Wl60 FT OF S 495 FT AND LESS E 140 FT OF W 300 FT OF N 299.47 FT- (4.32 AC) (MAP 34/09S) (OR 1541-2810) Property Tax ID#: ,:'A:cQ-4\\ - Q:D�- (XD- =:\ Lot No .. _ Site Plan Name: \<�(}Vet:) JCAV\Q, Block No. \.\ t• --- Project Name: _ Setbacks Front _ DETAILED OFW ''""'" \ I\StGt \ \ 44 'I' '1) 4 f'( L t(,hc C - 6 Yltl \ Y-0..v,Ch IS "f\J-l{:, - w\ ,_ \(Y �o � ti- \-� U> · '()OK . itiona wor to DHVAC DElectric er rs permit - c ec a DGas Piping D Sprinklers D Generator D Windows/Doors DRoof Total Sq. Ft of Construction: _ Cost of Construction:$ _....,t._.o:&\Q . . . , _ . _ --"--='------- S� 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 _ CONTRAC,:@R: from the Owner listed above) Name Y Name: Todd Paroline Address:��:;::....,...__,,iz...:,,=""1....=->c=.-=--""--"-'-=------,-- Company: Superior Fence and Rail City: State: rL Address: 2778 N Harbor City Blvd #102 Zip Code"-L.L-L�c._� Fax: _ Phone No. _ E-Mail: _ Fill in fee simple Title Holder on next page ( if different OWNER/LESSEE: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: _ 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: Addres- s :------------------ 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 record in our Notice of Commencement. �------ _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA y l COUNTY OF ( .AJ. (,,\ c) STEPHANIE BROOKS � I F�TI� -eft.J EXPIRES: April 5, 2019 f;I····· Bonded Thru Notar:y Public Undeiwriters Personally Known OR Produced Identification _ Type of Identification Produced _ The forgoing instrument was acknowledged before me this� day of �&:rt:: , 20 \ 1 by ·-rode- tv\ � Cl VOl t V\.Q __; The �oing instrumen} was acknowledged before me this day of :':::,, AY'Q/ , 20 D._by Revised ame of person acknowledging ) REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR PLANS REVIEW REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS JOSEPH E. SMITH, FILE# 4338784 CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY OR BOOK 4029 PAGE 1, Recorded 08/08/2017 03:52:20 PM NOTICE OF COMMENCEMF.NT ST A TE OF Florida COUNTY OF lkfiar<t S r I I ) C /€ Phone number: Name and address: b. a. 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 Commencement. 9 36 40 E 1/2 OF N 30 AC OF NE 1/4 OF SE 1/4-LESS N 7.5 AC AND LESS E 33 I D . · (I . . FT FOR RD R/W AND LESS W160 FT OF S 495 FT AND LESS E 140 FT OF W . �rrsrn �RC�tJOA 01 �opct�d yYt ��d�ess 1favail�) 3 FT OF N 2L7 FT eLru � f:t! __ �_,_t=; --�"-=-l-::?-'-'==---,,,.-----,--,,c------- 2. General description of improvement \ h,<--s\::::-Cill_ 44:J . 0£- A___j?_'c4._L.�.x:u.. C' QJt's . 3. Owner information: �re_.,_U).2_QLO�e��t£1e,---UL,Ft ... ,jqf'r8,2_ 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: _3_2_ 1 _ - 6_3_6_ - 2_8_2_9 _ 5. Surety: a. Name and address: n/a b. Amount of bond$ n/a c. Phone number: 6. Lender: a. Name and address: b. Phone number: na 7. Persons with the State or 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: �"��----------------- 8. In addition to himself. Owner designates the following personfs) 1'0 receive a copy ofthe Lienor's Notice as provided in Section 7 U. 13(1 )(b), Florida Statutes: a. h. Name and address: Phone number: .. n/a _ . ..n/a _ - .. 9. Expiration date of notice of commencement (the expiration date is one (I) year from the date of recording unless a different date is specified) . WARNING TO OWNER: ANY PA \'MENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7lJ, PART I. SECTION 713.13, FLORIDA STATUTES. AND CAN RESULT IN YOUR PA YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST lNSPECTJON. ff YOU lNTEND TO OBTAIN FINANCING, CONSULT WlTH YOUR LENDER OR AN A TTOR1'il:Y BEFORE C:OMMENClNG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. b�-· Signature of Owner or Owner's Authorized Ot1icer/Director/Pmncr/Managcr Signatory's Title/Office _ __,Qu)0 " " - ' ..,,_"-'-.,,0'--"-',V . _ _ STEPHANIE BROOKS MY COMM1SSION # FF 217128 EXPIRES: April 5, 2019 BO!ldtd Thro Notacy Public Und-11era Personally Known_____ OR r�e� Identification Type of identification produced ..J..[.J.d2i. - " ' :C!-L>.-=<---------- Vcrilication pursuant 10 Section 92.525, Florida St.atutcs Under penalties olperjury. I declare that I have read the forc:z that the tacts stated in it arc true lo the best ofmy knowledge and belief. . ----��- -�� '------ � . . Signature of natural person signing above z 0 ...... z 0 r: c 0 ,,., 0 OLEANDER A Vf.. CITRUS AVf. '-- ---.;;:::__ w::: of NE 1/4 of S£ 1/4 Sec. 9, Twp. 36 S. Rn9 40 f'.. z 0 ...... z 0 r- e 0 fT1 0 1 ------ � ..l \;! �. 0 495.1! Easl line of NE 1/4 of S[ 1/4 Sec. 9, Twp. 36 S, Rn9 40 E.