HomeMy WebLinkAboutBuilding Permit Application with drawingALL 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_)(�--
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: \ �
Legal Description: {UV� 1 l,\,h vt 4 bl¥-- 3]
lot No. \ __
BlockNo. 6J Property Tax ID#, ��----v*=� -OW- 0
Site Plan Name: L_ j}a.\JJj b_o_ . �,.
Project Name:-----------------------------------
Setbacks Front. _ Back: Right Side: left Side: _
t DETAILED DESCRIPTION OF WORK:
itiona wor to
DHVAC D Electric D Plumbing
app y:
Shutters D Generator
D Windows/Doors
DRoof
Total Sq. Ft of Construction:--------
Cost of Construction: $ ...,,._j __ 3"-'-
)
.... \.P..._ _
5'}£!; of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
OWNER/LESSEE: CONTRACTOR:
State:�
E-Mail: 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
City: Melbourne
Zip Code: _3_
2
_
9
3_5 Fax: 321-638-0086
Phone No. 321-636-2829
Fax: _
Name_.\-+:::i..a.___Juc��µ.i.!......l_-,..----=---
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City: v(,
Zip Code:,�,
Phone No. _
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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: ------------------- Address: ------------------ 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:------------
_ Signature of Owner/ Lessee/Agent
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
improvement to your property. A Notice of Commencement must be recorde and posted on the jobsite
before the fi t inspection. If you intend to obtain financing, consult with le er ran attorney before
commencin w rk or recordin our Notice of Commencement.
sTATE or FLORIDA � Lu u COUNTY OF \ CJ STATE OF FLORIDA :l:LiA f) COUNTY OF \ L\
The f?('�oing inst�cknowledg�fi,.before me
this .q- day of k:: , 20 �by
The l\Joing instruITt was acknowled�eAfefore me
this day of �ff V , 20 � by
Personally Known OR Produced Identification X
Type of Identification Produced __ _..F
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Name of person acknowledging)
P s nally Known � 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# 4489579
CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
OR BOOK 4190 PAGE 1653, Recorded 10/10/2018 09:24:53 AM
NOTICE OF COMMENCEMENT
STA TF. OF _flo.r.i.dl)�
COUNTY OF cWOC1
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property. Anti in nccordancc with Chapter 713, Florida Statutes.
tile following information is provided in this Nut,cc of Commcncemem.
I. ny.and sueet addressuevailable) <ot..aO\P � Cub v� v � U>r \ - ft- P,ev(.,�, FL 3�fil 2. Gcneral description o improvc111cn1:�U 1Q8 I C\]J.9_:_ Pv<.d2:n� w\ \-4: "·+5! de_.._ _
3. Owner information:
a. Name and address: _USC\ \/.fu!u\h � , 5tJDL() � Clu.b £� t )lA I F+ P1CYGe..1
h. Phone number. . . - • J .,_ ---J � 'H- �'o j
c. Name and address of fee sun pie titleholder (if other than owner): ..• ·----
4. Coouuctcr;
a.
b.
Name anti address:
Phone number:
Superior Fence and Rail of Brevard County, Inc. 2778 N Harbor City Blvd, Ste 102, Melbourne, FL 32935
321-636-2829 .,,_ ... _,_ ···--
5 Surety:
a. Name and address: nta
b. Amount of bond S
Lender:
a. Name and .ddrc.-.s: Ola
b. Pllone number: nta
c. Phone number:--------------
'/, Persons with the Srn1c of Florida designated by Owner upoo whom notices or other documents may be served as provided by Section 713. l .l(I )(a)7.
!'lorida Statures:
a. Name and address: �n�/�a-----------------------------------
h. Phone number:
8. In addition lo himself, Owner designates the: following persoots) to receive a copy of the Licnor's Notice as provided in Sccdon 713.13( I )(b),
Florida Statutes:
a. Name and address: .na., _
b. Phone number: .nL�!!.,,.,_ _
9. Expirauon date or notice of commcncemeru (the expiration date is one ( l) ycnr from rhe dah: of recording unless a different date rs specified) __
WARNINC. TO OWNF:R: /\NY I'/\ YMENTS MADE RY THE OWNER /\HI:! THE EXPIRATION OF TIIE NOTICE OF COMMENCt::MENT
ARE CONSIDERED IMPROPER PAYMENTS UN[)EI{ CHAPTER 713. l'Alff , 'l::CTION 713.13, l'LORID/\ STATUTES. /\ND CAN R�ULT
IN YOUR l'A YING TWICE FOR IMPROVF.MENTS TO YOUR PROPF.RTY. 'A OTICE OF COMMENCEMENT MUST BF. RF.CORDED ANO
POSTED ON THE JOB SITE BEFORE TH!:: FIRST INSPECTION. If Y NTtND TO OBTAIN FINANCJNC., CONSULT WITH YOUR
LEND�R OR AN ATIORNEY l!EFOl{E COMMl:NCING WORK OR RECO G YOUR NOTICE OF COMMENCEMENT.
Under pcnalucs of perjury, I declare that I have react the foregoing and that acts slated in it arc true to the best of my knowledge and belief.
____ ....:....---=='--------------- .. ·- ···-------
Signature of'natural person signing above
HAYHURST LAN:
CERTIFICA T£ OF AUTHORIZ
SURVEYING & M,
445 9TH ST.
VERO BEACl
PHONE: (77:
FAX: (772)
84.09'
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ABBRE\1ADONS:
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8.8. BEARINC 8ASE
8M BENOI MARK
8U( BLOCK BL 'Ill) BOULEVARD
C CM.�1£0
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C.8.S. CONCRElt a.OCK
STRUCTURt f ��ANCE
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