HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 1A-1:2 a{Aa.onc..11roch ltAvct f fl: \)\CvLf.d, I; .. � ��
Legal Description: :tf"¥+ 2�fvle_, �0Rf2:) Uri H- � �LY .. 2 LD-t-S
Property Tax ID#: �V) - lQOl -ffiL-] -('X):) -2 Lot No. 5
Site Plan Name: � )i vil ';.\,h W \�:¥:::) Block No. 2-- II 1,t Project Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: I \ ns-\-a.l I \ \9. � le, LOCCG\ -tCtnc.,C.. VJ\ 1-4 50. \-fs.
4- �' °b 4· C)r-Q,\r) Ll.X'l'L. �(_ c
II CONSTRUCTION INFORMATION: I Addrtronal work to bortormea under this permit - check all LJ apply: C DHVAC _ Gas Tank OGas Piping _ Shutters O Windows/Doors
DElectric D Plumbing Osprinklers D Generator ORoof
Total Sq. Ft of Construction: so of First Floor:
Cost of Construction: $ 2A-lo� Utilities: _ Sewer D Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
l1 � ..l� \J\l I n�·-h 'I , Name: Todd Paroline Name
Address: 24-22 AHl!r'ff\C&,0-f'h �\ vr\� Company: Superior Fence and Rail
City: H v,evc..e" State:6=_ Address: 2778 N Harbor City Blvd #102
Zip Code: 6-\94-0\ 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 CONSTRUCTION LIEN LAW INFORMATION:
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
commencin work or recordin our Notice of Commencement.
STATE OF FLORIDAC\ ( COUNTY OF a- 1l (J.R2
Revised 07 I 1
STATE OF FLORIDA <-2\:: \ l).._g) COUNTY OF I \ A
(Name of person acknowledging )
Personally Known \(r 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
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