HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number:---------
Building Permit Application
Planning and Development Services
Bu,/dmg and Code Regulation tnv.uon
2300 Virginia Avenue, Fort Pierce Fl 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ---- Residential __ X�_
PERMIT APPLICATION FOR: Fence
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Block No. _
Back: Right Side: Left Side: _
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" tPU> CONSTRUCTION INFOR A¥7',_, j
rnona wor to or orme un er t IS permit - c ec a appy:
DHVAC Gas Tank DGas Piping Shutters D Wmdows/Doors
OElectric D Plumbing D Sprinklers D Generator ORoof
Total Sq. Ft of Construction:--------
Cost of Construction: s 5\ :\:::\ S'fl!; of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
Phone No. 321-636-2829
E-Mail. spacecoast@supenorienceandrail.com
State or County License: 02"9"-
5
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Fax: 321-638-0086 Phone No .. _
E-Mail:. _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Todd Parol1ne
Company: Superior Fence and Rail
Address: 2778 N Harbor City Blvd #102
City: Melbourne
Zip Code· _3_
2
_
9
3_5 _
State:�
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
_ Not Applicable
Name:------------------
Address:·----------�----
City: ----��------ State:
Zip: Phone: _
Q�:
MORTGAGE COMPANY:
Name: _
Address: �---
City: State:
Zip: Phone: _
Name: _
Address:-----------------
City:-----�-----------
Zip: Phone: _
_Not Applicable FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY:
Name: _
Address:-----------------
City.:_-----------------
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 ts 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 pmhrbrt such structure. Please consult with your Home Owners Assocranon and review your deed for any restrictions which may apply
In ccnsroeranon of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
m 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 k o rdin our Notice of Commencement
STATE OF FLORID�\ U COUNTY OF ,\,\ (,,,\
STATE OF FLORIDA� \ � COUNTY OF A\Llf
The f�oing 1nstru:] was acknowledged before me
th1s�dayof '-- n , 20 aby
,;;
(Name of person acknowledgm )
Personally Known OR Produced Identrhcanon
Type of Identification Produced
The f�oing instrumnry acknowledg'fi}!lefore me
this�dayof \ _ , 20Uby
lodd·m :ffiW\1nQ_)
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS