HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
m11DM! Building Permit Application
Planning and Development serwces
Bwldmg and Code Regulation tnvutan
2300 Virginia Avenue, Fart Pierce Fl 34982 )G' Phone. (772)462-1553 Fax: (772) 462-1578 Commercial Residential r-
PERMIT APPLICATION FOR: Fence
OCATION: . . - PROPOSfnlMPROVEMIDIIT ' dd ff' � ·� f)7
Address; --r:Jir ,<-:r 11 I • A \\ctl--VI ,l'i vr1 <;:-.i.- L'II" ve(_, . v-1 "2.,1_,('),- •
Legal Description: nvo,o, · nr VL1V11k'l 1l U'L -'-t_c::,
I Jr1-:-, J �v-i-i- } I)
Property Tax ID# \2,a [Q?J,-�-QD;) - 2S Lot No.� 1,_
Block No. -i&5 . Site Plan Name: fJ. V
•• " Project Name;
Setbacks Front Back: Right Side: Left Side:
IPET��-D �Es�@N 6;,::wiRK: �= :·: ' ,�!::' I ,, ll!C [
lr6r/A\ \41�· Ob Le . fVGfiflC( LA11-s'9crl:
CONSTRUCTION I NFORM;l.¥rtON: -- ' V;i>< . . c � 110;
sue ttrona! work to ,0r1ormed under trns perm,t cnerx an l:iapp,y, L DHVAC Gas Tank DGas Piping � Shutters D Windows/Doors D Electric D Plumbing
Osprinklers D Generator u.,
Total Sq. F,t of Construction: SL] of First Floor:
Cost of Constructron.S 10,ocO Utilities: Sewer D Septic Building Height:
QWNrR7LESSEE: CONl'Rl>.<;rOR: . ..
Name { ' 'l v I".< IT wr Name: Todd Parohne
Address: �, l.lT • 1(11,11 .\"\ '.£'\ Company: Superior Fence and Rail
City: t - J,p, ,, p , State:tl_.. Address: 2778 N Harbor City Blvd #102
Zip Code: '2"'i35\ 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@supenorfenceandra1l.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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: "�. " - - 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: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
t certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countfl makes no representation that Is granting a permit will authorize the germit holder to build the subject structure which rs in con rct with any apphcable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such structure. Please consult wnh your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of thrs 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, swrmrnmg pools, fences, walls, signs, screen rooms and accessory uses to another non-rusrdentrat 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�t��1 you intend to obtain financing, ���it�r or an attorney before
commencing wor recor n11.: vour Notice of Commenceme
(!�� ,., /4./LP -�/�;7h-- r, s
_ Signature of Owner/ lessee/Agenl Stgnature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA S-u ) COUNTY OF 51 (,..., 'f COUNTY OF AG\f
The forgoing instrument was acknowledged before me The l2\:ing instrun ent wA� acknowledgj�before me
this� dav of ':f ....-"V\,(. 20 1by this day of A 1 11 20 bv
(.1,,..,-\..,- �c,v,.,-l.. �an r.n �!11nv " (Name of person acknowledging) (Na;of person acknoi:dging)
�� (?fl 1) r-.., ,/ JJ.i 'A(J le J, , ,, , 11 t 1
(Signature of Notary Pubhc- State of Florida) (Sig J� f Notary Public-�f Fland I
Personally Known OR Produc�r ldentification_f' Pers lly Known )C OR Produced ldennhcatlon
eofldent1� Type of Identification Prod L.- Pl.,
, •......•.•• ,, BENJAMIN JOSEPH SORER 'i -�·'' ·,�,. STEPHANIE
Commission No. lm\�IGG3\793 c mmission Np.�- -�-t:\ No�;:,,��:���� t{��a . . . .. � c • 't' My comm. Expi1e� A:>I ,. 1on ;.� '.qi EXPIRES: 11an:tr 31 2023 �')-i� I \'!.- .• ..,.,.-· • 1""ai �our Ann . ..... '
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
IN1T1ALS
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