HomeMy WebLinkAboutOspina Permit Application 1.15ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number: -------
Building Permit Application
Residential _ Commercial ----
Plannmg and Development Services
Building and Code Regulation tnviuon
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence _
Address:
legal Descrtption: �ill='l,..,\,,.a.._rc\_._.._ ..... l ,.,a .... M;o..e.,_., _,_es\&\C
'-'-'11=1�S>--1.l..<..ot:lL..l,l.eo:...3,,__ _
lot No. (06
Block No. _
Back: Right Side: left Side: _
Propertv Ta, ID#: _,\('?i':_'----'=-'---'�¥L-_�.s:.�=._3:_i__,,\.P'----'-oco
<>A.,L:=_- 3:_.:::r._ _
Site Plan Name: ---�ICJ-4-l"ru
���"-' --t"-';"7"""-'------------------- \1 \I Project Name: _
Setbacks Front _
CONSTRUCTION INFORMATION:
mona war to
DHVAC
DElectric
ert ts perttut+c ec a
DGas Pipmg D Sprinklers
app y:
Shutters
OGenerator
D Windows/Doors o.,
Total Sq. Ft of Construction:�-------
Cost of Construction:$ -1:C\ll S� of First Floor:
Utilities: Usewer Oseptic
Building Height: _
OWNER/LESSEE: CONTRACTOR:
Phone No. 321-636-2829
E-Mail: spacocoast@superiorfenceandra1l.com
State or County license: �3 __ 1c:.33c:.7 _
State:�
Name: Todd Parolme
Company: Superior Fence and Rail
Address: 2778 N Harbor City Blvd #102
City: Melbourne
Zip Code: _3_29_3_5 Fax: 321-638-0086
Name
Address:;;.,1.L,a_.:���cill.O:a..LU�L_.1.i�\.-:;__
City: �e__ State:\::L
Zip Cod��\ Fax: _
Phone No. _
E-Mail:. _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
_ Not Applicable _ Not Applicable DESIGNER/ENGINEER,
Name: Addre,-,,---------------
City: -----=-------State: __ Zip: Phone: ------ ------------
MORTGAGE COMPANY,
Name: Addres-,-, ---------------
City: ----��-------State: __
Zip: Phone:----------
_ Not Applicable _Not Applicable FEE SIMPLE TITLE HOLDER:
Name:
Addres-,,----------------
City: _
Zip: Phone: ------ ------------
BONDING COMPANY:
Name: _
Address:-----------------
City: �------------
Zip: Phone:-----------
s
I certify that no work or mstallation has commenced pnor to the issuance of a permit.
St. Lucie _County makes no representatmn that is grantmg a permit will authorize the3erm1t holder to build the subject structure which rs m ccntucr with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such structure Please consult with your Home Owners Assocranon and review your deed for any restrictions which may apply.
In consioeranco 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 buildmg 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
�rrNofaeofComme1:Z,P1,t /_
_ �tu'fc Jt Owner/ Lessee/Agent S1gnm:ure of Contractor/License Holder
STATE OF FLORIDA� \ ""' 0 . COUNTYOF __ ---'.i..l[,t.L __ ._..u40��""'"'--------
(Name of person acknowledging)
�L�.f51fia�1,1� M-'..,.-/
r-; • )
'-..'/ r, I'>./. fl .It! I 01 r.x-,1_r() . , /
(Sign tu tary Public- State of tJ!i�a) (
Perso� y Known� OR Produced Identification _
Type of ldentif1cat•;;o�o::,.::P�,o�d�"�'�'�d"°'-""""""'"'��"'1r--
The forgoing instrument '1·r� �,knowlcdgcd before me
this� day of JY.O , 20?12 by
l�rsorok�e��.tJeL
commas.on No.
STATE OF FLORIDA 0\ \ , , r , p .
COUNTY OF .;,,JI::..LL_.,,,,,,L..\1\-=V\"-'-\../=---
<�·�·:--.\ Slt?HA ·f/.":�1 l'<otary P�bh, • Statt oi r"londa :):·::'Ji.•� ,mi5sion(5oall 1 2093
-...'f!Nr-<fl My Comm. hp ires Apr 5. 1023
Bonded throu�h National Notary Assn.
cornrmssron No
Th,{oA:oing mstruffifW was acknowledg��cfore me
this day of __\LA Q , 20 j..U.by v
:::f QG\QxY) fil®!V
Revised 07/l 5/2014
REVIEWS
DATE
COMPLETE
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS VEGETATION
REVIEW REVIEW -'---+--
SEA TURTLE
REVIEW
MANGROVE
REVIEW
JOSEPH
FILE #
E. SMITH,
4 662924
CLERK OF THE
OR BOOK 4370
CIRCUIT COURT - SAINT LUCIE COUNTY
PAGE 826, Recorded 01/15/2020 11:50:29
NOTICI:: OF C.:o:',1 \IF,;'l'CEMF.NT
AM
ST,\TE OF __E}Qrjda
couvrv OF :::::::::::.::jfT:If(.,\ C,
TIIE UNDERSIGNED hereby gm:s norce that Improvement will bi::. 11111dc co rcrm:n relll pl'operty. ;md m wccurdw11:c "'Ith Chapter 71 J, n,,mda Sb1u:es.
Ille following mfconatmn is piuvidcd HI ih•s Nonce of(ommcoconc:it
2
·'
b.
Nnnc ana address:
l'hnni: number:
·1--'-'--!-�·��������-
Q-u\'.Yl. �ca..,S2S3illlci1lnd..lll.lu.cfu- ,_Et. Pie.-u., 8..31-'131
m���cr, r1m1ofpro •l ,andstrc'3ad<l,c�,1(1t,·Jd� c)
Gcu;r4I descnpnon :if m1pmve111cnt· Jffi±QJl 2.·
011,m:1 infonnation:
c Name .111d ad,hc.<o of fee �1mµlc tulcbotdcr (if other lhlln own<:1 ).
4. Contractoe.
'
a.
b
Name �ud �ddrt'�}·
l'hnnc 11rnnhcr.
Superior senee ;md R11il of Brevard County, Inc. 2778 N Harbor City Blvd, Ste 102, MelbCNrne, FL 32935
321-636-2829 -
Surety:
e. Name �oo a.Id�, . n/a
b A1nou111 of bond Sn c Phone number: la
Lemler
a. ;,lsme �nd ad<:b::.� �
b Phone number: n/a
7 PC"r\.OnS with the State o! .Honda dc�>g,Mt<:U by Owner upon wnom notices or oter d01.."llmi:nl!l 111�y be �crvcJ...., provided "t,y Sccuon 71) !3\ IX�)1,
rlonda S1atutcs:
J Name and �<klr"�· ,nl=•�----
b Phone number
�- In add1!1011 lo h1m�lf; 0,.·ner designates the following pcr:,o,l(�) 10 receive a copy of the Lrenor's Notice:>..� provided n Stctiou 713 !Jll)(b).
Flonda Scnures-
a. Name and JllJrcs): ,n,l�---------------------------------------
b Phone number.
\I, +xprranon da1� ornotice or comm,:m.cm=< (the expuauon dace 1s ooe(I) y.- .. r f11Mn 1hc ti.tie of t:lCl•fding unless a d;ffcn:nt dare 1s sp..'1:ifi�J) _
WAT.!'llr-;l, TO OWNl:R Ar-;Y PAYMENTS MAnr. DY THI: OWN[R Al , ER rnc I:XP!ll.1'TIO'l OF TI!F NOTICE OF COMMl:NCEMEN'T
All.C CON<;JD[RIOIJ IMPHO!'ER PAYMLNTS UNDER CII/\PTI:k 713, l'AilT I, SECTION 71J ll, rLORJO/\ STATUTT;.S. AND CAN RE�ULT
N YOUR PAYING TWICE FOR IMPROV[MENTS TO YOUR f'ROPERn' /\ NOTICE or COMMENCEMENT MUST RE RECOR.DEi) /\NI)
l'U:ffED ON THE JOR SITT BEFORE THE flRST INSPECTION. IF YOU INTEND TO OBTAIN flNANCING. C'ONSU T WITH YOUR
LENIJl·I{ OR AN ATIORNEY BErDRE COMMl�NCINU WORK OR REC01Wl\/(i Ynt:R NOTICf OF C'OMl\trNCEMFNT
\(] b ,� � D --.,__,..__��=--�--- / �ignamrc of Owner or Owner·, Au:h.1ri't.ed Offiu.-o'Ono:i:tm/Panner/Managcr
Signatory', T1rldOrf.<.-e Owney -· ··-
TJ,u!,foregomg IIISll'Ul�l �;clmO"-kU&..:d before mo: dn� & P, dr..y of (\" r,rJV J3:t3I . _}.oJJJ. by
<.:>_lrJft "C:.>YJ� .. (nttn,co1p(:11<on)a5 �- {tyr,cul,.utl1oriry •. CJ!.
crrtcer. uu-tee, �ltorncy ,n fo(t) for . vn Jcl1�lfofwhom 1nscrJmcnt was executed) ,:::-,.,.------
SGlonC.,- MOTAAY PUBLIC
ST,t.TE Of FLORIDA
Corm,f 00321215
Expk"es 41812023
Sre .ate off orida
?rm,. tyre, 11r r.ta111p coumestcned name ofNot..r.ry l'ublil
Personally Known ----- OR Pto,.fou:J rJen!iC.cuL111r1 ...__.,/"
T)p•: tlf ,dcn,,fimtion produced ---------lvl
=c-=_£>µ_,l--�--
Under penah1:• of p,;IJU<)'. I 0...-clarc 1ha1 t have read the fui"'l:-oing ami 1001 die t"acts su1�d m I! arc crut to t'te best of my knuwledge and hdici.
)O___G, -v--- "__,._____
/ · Signamrc of natural person s1gnmg above
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vJp.5·�
lU U.t..
.t M.£.
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