HomeMy WebLinkAboutBuilding Permit Application :I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED.
Date: 5_14,--t9 Permit Number: q40--ii bO
"` ' RECEIVED
maiminetzsmtmerscaolsomito
Building Permit Application 1
Planning and Development Services MAR 2 6 2010 r.
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce.FL 34982 St.Lurie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential ge
[PERMIT APPLICATION FOR: Fence
,011,00,Q$E0,....„.„,...._I11hP0v.WEIT LbCAII [ 6 53 wotgli
Address: i .s EA- P f s:rt t.-- k34 1 -
Legal Description: cc s- '` } at, faa-ir,‘,S _ I ,04: 1 I
Property Tax ID#: ; A A '-' l�'! ''1:1) t U2--11003," -4 Lot No. i 1 11
Site Plan Name: #,C 1:( V ► i Block No. j
Project Name:
Setbacks Front Back: Right Side: Left Side:
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LETAILEQ DEKRIPTIO� r WOR4`" vi �
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Additional work to b(eerformed- under this permit
-check all,hat apply:
HVAC I j Gas Tank ' nGas Piping _Shutters I I Windows/Doors ,
CElectric Plumbing Sprinklers 17 Generator Ell Roof
Total Sq. Ft of Construction: S Ft.of First Floor: i
Cost of Construction:$ c5). Utilities: Sewer Septic Building Height:
O / l6/LE S£E f :e , 'v NTRACT R & x 'r'
.a, a,> ,,,, p_9? .:�.4. ti , s t. .. , ..e rrr�-W4 / ....... • fft �„..* _ • t, • .. .
Name ' :V t Name: ToddParoline
Address:: ' 1)i' t/it �5t - Company: Superior Fence and Rail ! i
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City: e 'cC_. 1 State:B.— Address: 2778 N Harbor City Blvd lt102
Zip Code: - :181 Fax: City: Melbourne ,State:FL
Phone No. ' i k.$'�' 1 7 r��`k� Zip Code: 32935 Fax: 321-638-0086
E-Mail: 1 I Phone No. 321-636-2829
Fill in fee simple Title Holder,on next page(if different E-Mail: spacecoast@superiorienceandrail.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.
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1 PLEIVIEN"[ ke'OW MAT l 1_ EWAVV REOgl :11tr
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DESIGNER/ENGINEER: —Nat Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address: I
City: State: _ City: State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 'Address:
City: City:
Zip: Phone: 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 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 1
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 I
before the first inspection. If you intend to obtain financing, consult wit ender or an attorney before
commencing wor ror recording your Notice of Commence,,meti . . , __
-- _SI/ A v./7—C„....-- If
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— IV_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
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STATE OF FLORIDA GILI STATE OF FLORIDA
COUNTY OF 5� COUNTY OF t at •`u`tC .
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Theorgoing instrument was acknowledged before me The f rgoing instrument was acknowledged before me
this .-•day of VIVArt,V1 , 20\/ by this 1.1.Aay of 1 V ,20 A by I
7700 nil ` I Vtill e0) -iCt - - `R. p)
(Name of person acknowledging) (Name of person acknowledging}
....1.10 AO-A/1232") "\r•-•_
1 VIA Al.' 0 jA ji)ED, ' or to , , 74 .1
('igna 1- • otary Public-State of Flori• (Sigr(atu e o 1 ctary Public-State of Porida f
OR Produced Identification Personally Known Known OR Produced Identification
Type of Identification Produced Type of Identification reduced
S•I'E,H�41IE9RCOKS -,-
Commission No „001,7',117..i:= , $t SSlON( )7128 Commission No i'` Si PHAt1IE81�i s�)
t kiliEXPIRES:April 5,.2018 . MY COt h 15S1G{V A EF 217128
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.a .. •_ :. d Thns hctacy Pah,Tc Uedetw tees _ „'7_. :.: .ORES:Apri15,2019 i
- 5041tdTt.Navvy u c •
Revised 07/15/2014 1
7
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
i COUNTER � REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ....__...._ _____._.
COMPLETE i
INITIALS
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