HomeMy WebLinkAboutPalermo Permit Application 2.6ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
liiiGli8! Building Permit Application
Planning and Development Services
Building and Code Regulot1on Division
2300 V1rgm1a Avenue, Fort Pierce FL 34982
� Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
I PROl'OSEDjMPROVtMENT LOCATION: ' '' ; . ' ' -- Address, f/llL\.'.l, (l\Q,F/ 10--!'11,,ru r::, V1t - i::::t . - ,,,L r
Legal Description:�\� �"Y\.}..()_ s;.f T) Jt.\ .'L F, l..o±: C\ r-
n • .,C 1:Z, n\t.l � _,, • '" -, °' Property Tax ID#: , · ,nf) - Lot No.
Site Plan Name: v \_k, '\{' "vlvffi Block No. ,, ,,
Project Name:
Setbacks Front Back: Right Side: Left Side:
1-�ETAAED DE�C�llTION OF wo'RK:: � • =:: 6'1i;:"': : I ' ,
\�\\ lQ,'C)' ti\) l9 . jN(W7[(_,, cu� vta,v �� Ll..,M_'
' """'""'- ,,
CONSTRlJCTION INFORMATION: _,, ' ' ' +,,,
Add1t1onal work to b[jrformecJ under'this permit check all LJ apply: L DHVAC Gas Tank OGas Piping � Shutters D Windows/Doors D Electric D Plumbing O Sprinklers D Generator ORoof
Total Sq. Ft of Constructron: � SL] of First Floor:
Utilities: Sewer D Septic Building Height: Cost of Construction:$ t:]Cit
OWNER/LESSl16,: ' ' CONTRACT OE:
Name ,r1", ' 10. C(l v� A r-, Name: Todd Paronnc
Address: �· 1,,,6 (', vr la , Company: Superior Fence and Rail
City: L-L P,P ,.,, State:Ci._, Address: 2778 N Harbor City Blvd #102
z,p Codes_"J¥1,8:'L Fax: City: Melbourne State:�
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 CONSTRl:ICffON LIEN LAW INFORMATION: -
DESIGNER/ENGINEER:
Name: Address_: _
City: -----�-------State:
Zip: Phone:-----------
FEE SIMPLE TITLE HOLDER:
Name: Addres-
s
:-----------------
City: -------c.---------------
Zip: Phone:-----------
MORTGAGE COMPANY:
Name: Addres-
,
:----------------
City: ----��-------State: Zip: Phone:
BONDING COMPANY:
Name: Addres-
,
,-------------------
City: =-------------- Zip: Phone: ---- -----------
_ Not Applicable _ Not Applicable
_ Not Applicable _Not Applicable
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 m 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, m all respects, perform the work
m accordance with the approved plans, the Florida Building Codes and St Lucie County Amendments
The following burldmg permit applications are exempt from undergrnng a full concurrency review: room addrtrons,
accessory structures, swrmrntng 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· pection. If you intend to obtain financing, consult with or an attorney before
k or record in our Notice of Commencement.
STATE OF FLORIDA � It , r , 0 J COUNTYOF �.c:n:
_
.
,
_
�
i
�&I..��
�
��---
The fe::rng mstru� acknowledgesJjieforc me
this day of , 20 ¥'.\,.by
(Name of person <1cknowledgmg)
Commission N
Revised 07 /15/2014
The f�o1ng mstr�nt was acknowledg&P--feforc me
this� day of kJ , 20 t1.. by
REVIEWS
DATE
COMPLETE
INITIALS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REV!EW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
PRoP E RTY _:; k e : c;-,1
FOR_
G )4 3 f,LE'f-PJ.)Efi?.1/t OY?.cce:-
F 0£1 Pl e/2..CE, :S Yer? .::z_
1-iovst!'
I