HomeMy WebLinkAboutWalton Permit Application 4.9ALL 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 )0 �
.
'-------
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
lot No .. _(.p--'-----
Block No. ,i
Property Tax ID#: �9\- \JITT - 01aq - CCQ- s
Site Plan Name: p� \ \ \ s V\JO. l±oa
Project Name:-----------------------------------
Setbacks Front. _ Back: Right Side: Left Side: _
DETAILED DESCRIPTION OF WORK: , nsta \ \ 2 4 2 ot tt>, -tcu \ \f\J o
DElectric
er t rs permit - c ec a
OGas Piping
Osprinklers
app y:
Shutters
OGenerator
D Windows/Doors
ORoof
Total Sq. Ft of Construction:--------
Cost of Construction:$ logs 1. OO
S� of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
CONTRACTOR:
City: Melbourne State:�
Zip Code: _3_
2
_
9
3_5 Fax: 321-638-0086
Phone No. 321-636-2829
E-Ma ii: spacecoast@superiorfenceandrail.com
State or County License: _2_9_
5
8_9 _
Name: Todd Paroline
Company: Superior Fence and Rail
Address: 2778 N Harbor City Blvd # 102 State: .a,.
from the Owner listed above)
OWNER/LESSEE: -----------�---1------------�---------I Name \
Address:k;>S Q' Rota Wai
City: 1:-1. e, ru.R.-
Zip Code: 31vf5 l Fax: _
Phone No. _
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
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:
Addres-
s
:----------------
City: State:
Zip: Phone:-----------
MORTGAGE COMPANY:
Name: �
Address: -----------------� City: State:
Zip: Phone: _
_Not Applicable FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: ------------------� Address: -----------------� City:------,------------- Zip: Phone:------------
BONDING COMPANY:
Name: _
Address:------------------
City: _
Zip: Phone:------------
STATE or FLORIDAG wv1e.. COUNTY OF • STATE OF FLORIDA� l cousrv or , uue.;
I certify that no work or installation has commenced prior to the issuance of a permit.
St. .Luc!e Countymakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which rs 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.
The forgoing instrument was acknowledged before me
this .l day of X'DOi \r Gh , 20 R._ by
Personally Known OR Produced lde�ification _L
Type of Identification Produced L UL
Revised 07 /15/20
Perso y Known )l OR Produced Identification _
Type of Identification Produced, _
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH,
FILE# 4420536
CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
OR BOOK 4116 PAGE 2311, Recorded 04/06/2018 10:46:29 AM
NOTICE OF COMMENC'l::MENT
ST ATlc'. OF·- FJ.2.ri.d..iL ··--- ··---·. ---·
COUNTY OF Brevard�------ ---
Tl!� UN?,ER�l�rNE� he�cby gi.vcs notice that improv�tncnt will be made to certain real property, uud in accordance with Chapter 713, Fluridu Suuurcs. 1h, tollowmg mtormauo« rs provided rn ll11� Notice of Commcnccmcm.
J. l(jflw&ffed'� �nnlirr
.
:ro_rcg· and street address if ava�
i
lable . . l.�.K_µlt.�,- . �J:t:Plen.t1fk 34�1
2. G.:110:rnl description of improvcmciu] �LZdZ D+ lO j(l ll Y'/0. _ (l l"J/ l �-:.z=f.> BllJt'.S · . ···--
l. �w,���:::�::':�,�=: 8lilll�ltOOJ(o50� rlor��-,Ft Pi&u. L.a_3�J
b. f>hooc number:
c. Name and address Cit' fee simple titleholder (if ocher rhun owner): ----- ·----· ··----
4. Cuntrnctor:
a
b.
Name and address: Superior Fence and Rail of Brevard County, Inc. 2778 N Harbor City Blvd Ste 102 Melbourne Fl 32935
--·.. • • - -... • - t ' •••
Phone number: 321-636·2829 ---- 5. Surety:
a. Name and address: n/a
b. Amount of'boud $�-- ···---
(,. Lender:
a. ;--nn,c and address: .nla ···----
b. Phone nurnbcr: .11@ , ·------
7. Persons with the State of Florida cJ.::.ignalccJ hy Owner upon whom notices 0t other document) m:,y be served as provided by Section 713.13(1 ){a)7.
1-loritfa Statutes:
, ····-----
c. Phone number: .na., _
a. Name and address: n/a.
b. Phone number: IJL�'-----
------· ·-----· ·----·--·-·----· ------
ii. In ;1,JcJ11iun 10 himself. Owner designates the follolliing pcrsonts) 10 receive ;i copy of the Licnor's Notice .is provided in Section 713.1 J( I )(b),
Flo1id;1 Statutes:
a. Name and address: Jl . .,,/.,,,a'---
b. Phone number: sus, ·-·------ -------
9. Expiration dace of notice of commencement (the expiration dale is one ( 11 year from lhc date of recording unless a different date i) snecitiedl , ·--·
WAR�lNG TO OWNrn: ANY PAYMENTS MADI: flY THI: OWNER AFTER THE EXPIIUTION OF TIIE NOTICF. OF COMMENCEMENT
ARE CONSIDERED IMPROPER PA YMl:NTS UNDER C'II/\PTF.R 713. Pl\lff I, Sl:CflON 71J.13. FtORIDA ST,\TUTES. ANn CA:--' RESULT
IN YOvR PAYING TWICE l'OR IMPROVEMENTS TO YOUR PROPERTY. A NOTH'F. OF COMMENCEMENT MUST AE RF.CORDED AND
l'OSTF.D 0:-J THE JOH SITE flEFORE TIIE flRST INSPECTION. If YOU INTJ::NJ) TO Of3TAIN FINANCING. CONSULT WlTII YOlJI{
Ll:NDER OR AN A HORNEY REFORE COMMENCING W{lRK OR RECORDING YO 'R NOTICE OF COMMENCEMENT.
�:r��- .. 47"�-
�
----
wncr or · wncr's A111horize<l Ollic.:r/Dir.:ctor/Panncr/Mnnagcr
Pcrsonallv Known OR Prpduc_,:d ldcruification Jl...� . .
Type Ctf1dcmific�1ion produced __ , r1.<-DL..... . . .
Vcrificarion pm1:uam 1Q Section IJ2.S25 F(orisli1.fuilru.t.�
2l .: ///� ,;'f .. a:
A'= /tJq'.?. c!?�.
{.:; .Jd'5.�:S'·
s-«:
,C,dt,·�
Al7�-Sd:34e "·M·
. '
� .
. '
. \ . ' '
,1/.<fi.
·. c" � Jl1lf" .... . .
·� ',. , .'co,Jt. .. ,-· .
� · . . /J�;IIE , . ·. ·.,
I $TtJA'f /"A'/1"1�
-<co/,Ot:,,JCc
JI 65tJ8 • v1;· . . \.. 7' \... f .4 � to; /,?.5'
F/.�' IN) \�
'6\J14� �·
WClt+DT) �
\ rt;\-(lli() L4 i �
\J \iWft� �#(
\J)) '},, 4-· so.ks .
- - �
g
_----1-
1
_