HomeMy WebLinkAboutBuilding 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 Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
Y,•` t -,t
I?RO'POSED.INIPROVEMENT LOCATION I
Address:12);N 11Y1 60 CA. C VtCh'Inso�1 I SIOzci, FL 311 lca
Legal Description:_ COTE- nit IntQ
Property Tax ID#; Lot No.�_
Site Plan Name:_I James ?ar ytf Block No. 1:2)
Project Name:
Setbacks Front Back: Right Side: Left Side:
D{ETAILED DESCRIPTION OF+WQRK r
TOW IOT d &tall PVC fenu—Wth t-S' gcl rr_ ono, s Of � '�tcLO /tum
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f enc.
CONSTRUCTI ,N INFORMATION
Additional w rktobenertormed under this permit—check all appy:
aHVAC L_J Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric Plumbing OSprinklers FIGenerator 0 Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
n(�
Cost of Construction:$ S(S?fl Utilities:Ll_Sewer U Septic Building Height:
OWNER/LESSEE CONTRACTOR 'i
r,
Name Name: Todd Paroline
Address: 1'3 1)bipr 1on Cfi• Company: Superior Fence and Rail
City: bo-Rani Y k'n KjCLOO State:':L Address: 2778 N Harbor City Blvd#102
Zip Code:3A9 101 Fax: City: Melbourne State:FL
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-Mail: 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 CC)NSTR.UCI"IQN LIEN I_AtN INFO'RMATiON
,.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: City.
Zip: Phone: 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 j
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 i
commencing work or recording our Notice of Commencement.
-�-�- ------ s
SZikn �r-e of Owner/Lessee/Agent Signa ure of Contractor/License Holder
SyOF FLORIDAj_. STATE OF FLORIDA � �
COUNTY OF COUNTY OF
The forgoing instru ent as acknowledged-before me The f rgoing instrument was acknowledged before me
this' day of
� _ ZO by this day of An 20 by i
(Na a of person acknowledging} (Name of person acknowledging)
N�J A
(Signaur f tary Public-Stat F orida) (S to o Notary Public-State of F rida)
Personally Known OR Produced Ide tificatlon Personally Known--� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission Ng�HANiEBR Commissio " pp SS Se )
ktyfAh4"ti9SS10tteF 2'l $ —Sp(S8FF2i7128
_•? `Y EXPIRES:April 5,2015 r MY C�JN 52019
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Revised 07/ ..
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS