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 Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Commercial ---- Residential _ _,,)C _
Address: ;::9\4:\ ()pan \t:f) �\\[(y Rm.cl , Ft :P1 rvce IF-, _ c4Cl51
Legal Description: ,�no �cxeo �;:\\ l D \ &-?>, \f)
Property Tax ID#: \6 \l-c£[L-{)\40- a:D- S
"" Plan Name, �
Project Name: ---�---w
Lot No\3\ \Q
Block No. _
Setbacks Front _ Back: Right Side: Left Side: _
I DETAILED DESCRIPTION OF WORK:
II CONSTRUCTION INFORMATION:
Additional work to bi�rformed under this permit - check all1}liil; apply:
DHVAC LJ Gas Tank DGas Piping U Shutters
DElectric D Plumbing Dsprinklers D Generator
(
O Windows/Doors
DRoof
i L
Total Sq. Ft of Construction:--------
Cost of Construction: $ _4
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t!=
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�:....!.......J2.,_.2..... _
OWNER/LESSEE:
S� of First Floor:
Utilities: LJ Sewer D Septic
CONTRACTOR:
Building Height: _
Name hlOhV\ � or>O()
Address:=,cf.lA \(�\)\.�'Qi \/P.v -Ll
City: &::?:�e_; State: fl_
Zip Code:�\ 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 #102
City: Melbourne State:£.':_
Zip Code: _3_
2
9_3_
5
Fax: 321-638-0086
Phone No. 321-636-2829
E-Mai 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: ------------------- Address: -----------------� City:------------ State:
Zip: Phone:-----------
FEE SIMPLE TITLE HOLDER: _ Not Applicable
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
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 recordin our Notice of Commencement.
STATE OF FLORIDA
COUNTY OF '-l: \ ,ULl:C,
(Name of person acknowledging)
STATE OF FLORIDA � COUNTY OFJ:: l 1.tLl:(,
The forgoing instrw��t was acknowledged before me
thisl&dayof ,J.JX)\A� ,20�by
:ra:\ ct Co rQ k:DI \YlP L
(Name of person acknowledging )
Personally Known OR Produced Identification _,k..
Type of Identification Produced .1.Pl.11)
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Commission N
Revised 07
Personally Known LOR Produced Identification _
Type of Identification Produced _
EXPIRES: April 5. 2019
Bonded Thru Not� Pubic Underwritets
REVIEWS
DATE
COMPLETE
INITIALS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW