HomeMy WebLinkAboutMezo Permit Application 6.19:.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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
PERMIT APPLICATION FOR: Fence
Commercial ----
Lot No.-'2:=-q.,___
Block No. I S:9
Property Tax ID#: \3Ql- lo\ 4- ooig- 00 o- 0\
Site Plan Name: -------------------------- Project Name: ---------------------------------- Setbacks Front. _
DElectric
D Windows/Doors D Generator D Roof
CONTRACTOR
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-Mail: spacecoast@superiorfenceandrail.com
State or County License: _2_
9
5_8_9 _
S� of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
Name Cl 20
Address:�\2 w·tn\:tr 6a1dtn P�\N�
City: et . "7\EY( :t State: El
Zip Code: �4 C\ S \ Fax: _
Phone No. _
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Total Sq. Ft of Construction:--------
Cost of Construction: $ -'5........,.{,Q'-_lL-( ..... 0.__ _
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:
SUPPLEMEtJTAL CONSIRUETIQ� LIEN LAW INF�RMATlgN:
_ Not Applicable
Name: -----------------� Address: ----------------- City: State:
Zip: Phone:-----------
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 OF FLORIDA)\:- \M COUNTY OF \ LI (.1 STATE OF FLORIDA � \ .A,l COUNTY OF UC)
I certify that no work or installation has commenced prior to the issuance of a permit.
St. �uc!e County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which rs rn 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 attar before
commencin work or recordin our Notice of Commencement.
Personally own� OR Produced Identification _
Type of Identification Produced _
The \o�oing instrum.}t was acknowledg\�efore me
this day of \ J..bQ ) , 20 by
e of person acknowledging
The forgoing instrume)\Aas a�nowledgeq,before me
this� day of , \f) � , 20 _lli._by
�VOvh f{\01D
Personally Known OR Produced\i.{)�cation --1:,__
Type of Identification Produced )\_ _,
Commission
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE# 4447532 OR BOOK 4145 PAGE 1942, Recorded 06/15/2018 09:41:47 AM
�OTICE OF C0:\-1MENCEMENT
STATE OF ___E!m:!41L_ _
COUNTY OF Bre,ard ::SCT'4 ue:..L
THE UNl)F.RSIGNED hereby gives notice that improvement will be made 10 certain real property. and in accordance with Chapter 713, Florida Starures.
the following information rs provided in this Notic� of Commencement .
I.
2.
3.
. Description of property: (legal description of property, and street address if available) �uw�l?� . .-\L vh,t 1'2. Bl \t..1'50\ LOt}O\f5 9, 2. vv ioJA r <"?o..rci{Q Pl< wy ,ft,P ierc () fl.. � 4�
<,eneraldescnpt1onofunprovcment: !n�tn \\ 2�� O(Q f(ll\ WClac:A.-fenC�.\.AJ\\11 I t �Q..\-C.Q..r'lcl \-S 9a._te... Owner information:
a. Name and address: SCAJ(!X\JY'rC20+0�\)..W\01fY 6_� Pkvvyl et Pierc�ft. �4qs-1
b. Phone number:
c. Name and address of fee simple titleholder (if other rhan owner):
4. Contractor:
a.
b.
Name and address:
Phone number:
Superior Fence and Rail of Brevard County, Inc. 2778 N Harbor City Blvd, Ste 102, Melbourne, FL 32935 321-636-2829 . ··- -- ---- ------
·-------·-----·· ··--- ...
c. Phone number: _D.,.,.. _
5. S11rc1y:
.1. Name and address: .na, _
b. Amount of bond Snla__ __ . -···------··-·-- .. --
6. Lender:
a. Name and address: .nza., . -----·----------
b Phone number: JJLa, _
7. Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713. 13( I )(a )7.
Florida Srarutes:
a. Name and address: ...,n"'/"'a'------------- ----·---------------·-
b. Phone number: .oza.. _
8. In addition lo himself, Owner designates the following personts) to receive a copy of the I .icuor's Notice as provided in Section i 13. l 3( I )(b), Florida Statutes:
a. Name and address: n/a . _
b. Phone number: _,_n.!.!./,.a _
9. Expiration <late of notice of commencement (the expiration date is one (I) year from the date of recording unless a ditfcrenr <late is specified) __
Personaltv Known 01{ Produced ldcntificationLX�---
Type of identification pr�<ll;�tl _fi,, V'- __
SlEPHANIE BROOKS MY COMMISSION I FF 217128
EXPIRES: April s, 2019
Bon006 Thru Nota<y Pubic Unde,...,ers
WAHNING TO OWNER ANY PAYMENTS MADE BY THE OWNEH AFTER THE EXPIHATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. 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 RECOROED A'JD
POSTED ON TllE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITII YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
t\! -a� -� .� . ---
�re of Owner or Owners Authorized ff,··
Y.�1:i!icacion pursuanc to Section .92.525, Flori<!l! StatuJes
Under penalties ofperjury. I declare that I have read the foregoin!}nd that the fac · stared in it are t111e to the best ofmy knowledge and belief.
_
·
?\. �-�.
Signature of natural person signing�
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