HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: '��� Building Permit Application
Plannmg and Development Services
Budding and Cade Regulat1an tnvnton
2300 Virginia Avenue, Fart Pierce Fl 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential \(
PERMIT APPLICATION FOR: Fence
PROPOSED IMPRO\/EMEN LOCATION: -· .
' - "' in;,. r,,...,,., 'r: \,. \fl, l \, � Y\' \l-,,>n,, IA _, _,,,_ .I ' Address: • ' l �',/(¥ v' . ,
Legal Description: WOJ{ ,,h fil- ,'.3 Lnl:: 2
Property Tax ID#: �11- �5-crow-orn-s Lot No. 2.
Site Plan Name: IYI 1 Cklf'll'., UV1� Block No. '3
�\ " Project Name:
Setbacks Front Back: Right Side: Left Side:
I .DifAILEO DESE_RJPTION,'2!' �ORK: ',:: ";. ;":·::::: ' .. -t,J&t :- I dW
' &&-
I hS1tl\ \ \'5 I 9b4 �c fence, w 11- 3 · go.A(_°" \-\OLD� .
CONSTRUCTION INFORMATION: "*".":;- '"•·
Add1t1ona1 work to bt:rformed under HIS permit Check all r: apply: D Windows/Doors L OHVAC Gas Tank DGas Piping _ Shutters
OElectric DPlumbmg Osprmklers O Generator ORoof
Total Sq. Ft of Construction: SL] of First Floor:
Cost of Construction:$ 0'.13lJJ Utilities: Sewer D Septic Building Height:
OWN!:R/LESS&Es - CONTRACTOR: ·� ,. • . ,. •b•-
Name t l v, ' ' � Name: Todd Paroline -
Address: n:,, I l"l • I l) () /j '"fl• I Company: Superior Fence and Rail -_ 'h �/lf'h • State8_ Address: 2778 N Harbor City Blvd #102 City: rr
Zip Code.34fl5/ 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 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 Apphcable
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 CountX makes no representation that rs granting a permit will authorize the germ1t holder to build the subject structure which is in con rct with any applicable Home Owners Association rules, bylaws or an 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 consrderatton 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 Flonda 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
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work �- recordina vour Notice of Commence "
��U/J/A -£#/_A s
_ Signature of Owner/ Lessee/Agent :,ignature of CoMractor/Lfcense Holder
STATE OF FLORIDA 01- \.J /C If, STATE OF FLORIDA 3-:Luav COUNTY OF COUNTY OF \,
The dgoing instru('j'Owas acknowledged before me Th:f�,so1ng instc::rm�owledglc1eforc me
this day of Q 'ce,v , 20 lf1_hy thi day of k; 20 by
Tcx:tl IYl Q'.J'112[J.W 1Qjd 00 fO.\:Ollba...1
(Name of person acknowledging ) (Name of person acknowle:�)
1(\/ - .A � \
� � LP 2hl 1r1, n - 'I y/r;{) / 1',, ,,,u}VIIOo J' ,_,,.
el, ¥JIU e of Notary Pub'\Jt.5,_, of Flori I � � of Notary Pubhc�cwof Florid<:
Personally Known )('.; OR Produced I emlficatlon � anally Known )( OR Produced ldentificatmn --- Type of Identification ed Type of Identification Produced - !,�. STEPHANI£ BROO(S
Ccmnussron ti . ,, � • STEPHANIE B��\� Commission No. " ' Noury Pub(iSe�e of Florida /fff..�·. NQtary POblic · Stat • da . .,.. � Commission ; GG 3120Cl3 '.:;:;�·.:.· comminlon #GG 111�� \�,J IAy Comm. E�pll"P$ Al)f 5, 2023 -� , i,.9" ·� 13 ·"
. , ·°' . .-:-P.onded 1hroo1h tlatKINI Notary ASIO.
, ... 1sn .
Revised 07 '"--
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW --
DATE
COMPLETE
INITIALS