HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ Permit Number:---------
Building Permit Application
Planning and Development Services
Bwldmg and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _ Residential _ _..)C.__
Address: \ V Legal Descnptron: 'fl\\ [YJ @112YC, <S)D m E Loi-: I\)
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ProJectName: _
LotNo. \L)
Block No. �E�-
Setbacks Front _ Back: Right Side: Left Side: _
ert rs perrmt c c ec a
OGas Piping D Sprinklers
Shutters
OGenerator
D Windows/Doors
ORoof
Total Sq. Ft of Construction:=�------
Cost of Construction:$ _ _:O'i'----"ct----'-'{)"--------
S'f£!; of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
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Zip C�de: Fax: _
Phone No .. _----------------
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Todd Parol1ne
Company: Superior Fence and Rail
Address: 2778 N Harbor City Blvd #102
City: Melbourne State: FL
Zip Code: 03.::2.::
9
3:.:5:_ fax: 321-638-0086
Phone No. 321-636-2829
E-Mail: spacecoast@superiorfenceandrail.com
State or County License: 02::9:::5.::
8
9::__ _
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CTION LIEN LAW INFORMATION: ·- "' '"' �' ;/¥"<>1''
_ Not Applicable MORTGAGE COMPANY:
Name: _
Address: ��-- City: ----�---------State: Zip: Phone:
_ Not Applicable DESIGNER/ENGINEER:
Name: _
Address: ��---
City: ----��------ State: Zip: Phone:
S\J)?S'tEMENTAL CONS
_Not Applicable FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: _ Address: _
City:----�------------ Zip: Phone:-----------
BONDING COMPANY:
Name: _
Address:------------------
Cttv: �-------------
Zip: Phone:-----------
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representatmn that is granting a permit will authorize the permit holder to build the subject structure which rs in conflict with an','. applicable Home Owners Assoctanon rules, bylaws or and covenants that may restrict or protubrt such structure Please consult with your Home Owners Assocranon 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 w11!, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following butldmg permit applications are exempt from undergoing a full concurrency review. room additmns,
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 i pection. If you intend to obtain financing, consult with len er or an attorney before
record, our Notice of Commencement.
The f�going mstnrr:rt was hnowledg��efore me
this ....Q.._ day of l\,\.1". , 20 �by
The f�oing instrument was achowledgeMefore me
this ...Il_ day of YYYJ.yt: , 20 by •
(Name of person acknowledging) (Name of person acknowledging)
Revised 07/15/2014
REVIEWS
DATE
COMPLETE
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
INITIALS