HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number:---------
Building Permit Application
Planning and Development Services
Bu1ldmg and Code Regulation D1v1s1on
2300 Virginia Avenue, Fort Pierce Fl 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ---- Residential__,_)<-=-----
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROl/�NT LOl'AilON: � - "'
Address: I() I :z., ( l \ 0 (!�
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Legal Description: iY) 0 Vh () - ' - 'i::, f) l:',i \Y C- I 11+-- i ' v
Lot No .. _�15._,__ __
Block No. _,t;�-
Back: Right Side: Left Side: _
Project Name:-------------------------------------
Setbacks Front. _
1-1uL rtrona! work to o�r,ormea under this permit check all � apply:
OHVAC LJ Gas Tank DGas Piping U Shutters
DElectric D Plumbing Dspnnklers DGenerator
D Windows/Doors o., L
Total Sq. Ft of Construction:--=-----
Cost of Construction:$ \51Z: S� of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
Fax: 321-638-0086
Phone No. 321 ·636·2829
E-Mail: spacecoast@supenorfenceandrail.com
State or County License: 02"9"-
5
8"9'----------
OWNER/LESSEE:
Name ,-.�').rY iu f.-a..q.�1 \/lr'�
Address: fl •.:z..-i Jr" q,,,11 I ,,r .\ O )
City: · 11�\/ .I"' - State:�
Zip Code:�2:1- Fax: _
Phone No. _
E-Mail:. _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Todd Parolme
Company: Superior Fence and Rail
Address: 2778 N Harbor City Blvd #102
City: Melbourne
Zip code: _3_2_
9
3_5 _
State: FL
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU PPLEM ENTAL.CQNSTR CllON LIEN LA NFORMATION: "'&. -"" -- �' DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Addres-
s
,----------------
City: ��----------- Zip: Phone:----------
Name: _
Address:-----------------
City:. ��----------- Zip: Phone: ---- -----------
I certify that no work or mstatlauon has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that rs granting a permit will authorize the permit holder to build the subject structure which rs m conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohrbrt such structure. Please consult with your Home Owners Assoctanon 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 ncn-resroennat 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 inspec ion. If you intend to obtain financing, consult with lender or an attorney before
commencin rk r o in o Notice of Commencement.
STATE DF FLORIDA� \ ,l()_) COUNTY OF A A[ �
The fl"°1ng instrumentzrs s1-:t:3owledge9-Pefore me
this day of ty) 1,,-L, , 20\�by
{Name of person acknowledging)
Commission
Revised 07
The f�oing instrument wvG:howledg�before me
this J'::1 day of r:Y)a , 20 by
(Name of person acknowledging)
Personally Known � OR Produced Identification-��
Type of roennncanon Produced _
Cornmrsston No. -IF;���='"ii::::m�:!:""""il STEPHMlE
MY COMMISSIQll I FF 217128
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REVIEWS
DATE
COMPLETE
INITIALS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR PLANS
REVIEW REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW