HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number. -------
Building Permit Application
PERMIT APPLICATION FOR: Fence-(),\�!Y1lf)V!Y\
-J _, ""'
Residential _ _,.)t�- Commercial ----
Planning and Development Services
Building and Code Regulation Divtstcn
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PROPOSED IMPROVEMENT LOCATION:
Lot No.�.
Block No. ---
Back: Right Side: left Side: _
Property Tax ID#: �\J��-�l- _ _,_&)e
.._.._.----,-,,,_Clli'a
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Site Plan Name:
_}}C,i�,�(Y\-'--':-"';l::bb
=�--------------
1 " Project Name:------'------------------------------
Setbacks Front ----
DETAILED DESCRIPTION OF WORK:
'
i";'.ONSTRUCTION INFORMATION:
Lidd1t1onal Work to b�rform"ed under this p�rm1t""' cficck all� apply: •
OHVAC U Gas Tank OGas Piping l..J Shutters
DElectric D Plumbing
Ospnnklers D Generator
...
D Windows/Doors o.,
Total Sq. Ft of Construction: --------
Cost of Construction: S ,3, :441:: S� of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
State:�
Fax: 321-638-0086 Zip Code. :)2935 ---
Phone No. 321-636-2829
E-Milil: spacocoast@supcr1orfoncoandra11.com
State or County License: _3_1_33_7 _
.-r-- - --�---t-c_o_N_Tc::RA_C_TO_R_: ��-
Name: Todd Parolmc
Company: Superior Fence and Rail
Address: 2778 N Harbor City Blvd #102
City: Melbourne
OWNER/LESSEE:
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.
S�PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
_ Not Applicable _ Not Applicable DESIGNER/ENGINEER:
Name: ------------------- Address:. _
City: -----�-------State: Z1p: Phone: ------ ------------
MORTGAGE COMPANY:
Name: Addres-,,----------------
City: ----��-------State:
Zip: Phone: _
--- ccc:-::-=c=-:::c-c=c=;----,,-----,-,-,---1-,---;--�-ccc-c--- ------- ---- FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name: _
Address:---------------- Address:-----------------
City:------------------ City: ;--�------------
Z1p: Phone: Zip: Phone: ----- ---------- ---- -----------
s
I certify that no work or installation has commenced pnor to lhc issuance of a permit.
St Lucic County makes no representation that is granting a permit will autnonze the permit holder to build the subject structure which is in conflict w,th an� applicable Home Owners As�oc:1ation rules, bylaws or and covenants that may restrict or prphtbu such structure Please consult with your I tome Owners Association and review your deed for any rcstrir.tmns which may apply.
In rnnsideration of the granting of this requested permit,! 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, swrmmmg 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 [obstte
before the firs · spection. If ou intend to obtain financing, consult with lender or an attorney before
comm. ·n or rccor '1!1!L�our Notice of Commcncemen �-----
STATE OF FLORIDA C\, I ,
COUNTY OF � Ul{.,-1
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STATE OF FLORIDA O t
COUNTY OF �ut
=_lv._{,;\('.;
(Name of person acknowledging)
" OR Produced ldentif,catmn _
d co
Commission No. /i�''&\ STij�f�BROOKS ---41!;�;,.-;-��"t,' Notary ?l,��· itatf of FIDr1da \��1} Commls1ion It G(j )12093
',.!!'�.- My Comm. EIDirH .lpc: 5,-WU
on Ced throogh N�tlon.11 Nol¥Y As�.
The �oing instru�cnt was acknowledged before me
this "_b..Jday of ....J llr)L11�-· 7.0 u: by
,:fod�,..._,__��-
(Name of person acknowledging
OR Produced ldent1f1cat1on _
0 '
,{,ifii!i+°':-. STE?HAIII£ aROOKS
f.?��ary Pubhc(Slaijof Flondi
'-1W
,J/ .. _comminlon t oc 312093 '1_a, r,..';l My Comm. Upir� Apr 5, 2023 -----4--"'•···>· '""'�deifthroo1h Ha11onal Notary sn.
The �!!.01ns 1nstr�ryr�\a_.5r1r.�:w'.edged before me
this �day of �------J""' 20'2Q.by
Commusmn No.
Personally Known
Type of ldentificat1
Revised 07 / I 5
VEGETATION
REVIEW
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SEA fURTLE�ANGROV[
REVIEW REVIEW ---· - ZONING SUPERVISOR¥' PLANS
REVIEW REVIEW REVIEW ---1 ·--+-
FRONT
COUNTER
REVIEWS
DATE
COMP�LE�T�E_j f-----e------1,------t-----·l-----+-----
INITIALS