HomeMy WebLinkAboutRocha Permit Application 2.6ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number: ---------
�LORIOA
Building Permit Application
Planning and Development Services
Buildmg and Cade Regulation D1v151on
1300 Virginia Avenue, Fore Pierce FL 34982
Phone: {772) 462-1553 Fax: (772) 462·1578 Commercial ---- Residential -�X�-
PERMIT APPLICATION FOR: Fence
Lot No. Le3
Block No. _
Propertv Tax
ID#:�� -;�013: - CcQ-5
Site Plan Name: __ fu___ �
ProjectName: _ ___,,,�,_,,,.c___,Rfl(",.,._,,._,._."'-'"'--------------------------
Setbacks Front, _ Back: Right Side· left Side:----
DETAILED DESCRIPTION OF WORK:
D Windows/Doors
ORoof
- ,., g ' 1t1onal work to b�rformcd under this permit check alll}5:ai; apply·
OHVAC LJ Gas Tank DGas Piping LJ Shutters
OElectric D Plumbing Osprinklers D Generator
CONSTRUCTION INFORMATION:
Total Sq. Ft of Construction:--------
Cost of Construction: s __,.o\...,_...,QJ
=�----
5� of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
State:�
OWNER/LESSEE: �:::,,, \h� �;i;'p I
rnv: 'y\)Y:\: :::It Luu e... State: fL.
Zip Code:� Fax: _
Phone No .. _
E-Mr1il: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR: --�������-�
Name: Todd Parolme
Company: Suponor Fence and Rail
Address: 2778 N Harbor City Blvd #102
City: Melbourne
Zip Code: _3_2_9_35 Fax· 321-638-0086
Phone No. :i21·636-2829
E-M;iil: spacecoast@super1orlenceandrail.com
State or County License: 03"1-"3"-37 _
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 Applicable
Name: N11me:
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 Count� makes no representation that is granting a permit will authorize the g1Nmit holder to build the sub wet structure which ts in con rct with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohrhrt vurh structure. Please consult with your Home Owners Assoc.anon and review your deed for any restrictions which may apply.
In consideration of the granting of thrv 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 apohcauons are exempt from undergrnng a full concurrency review: room additions,
acccvsorv structures. swimming pools, fences, walls, �igns, screen rooms and accessory uses to another non-rustdcntrel 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 inspec�n. If you intend to obtain financing, consult with lender or an attorney before
commencing work rdina vour Notice of Commencement. ___.., ....-1' � �,q #?/<- �A - s
_ S1gnaturif'of Owf.er/ Lessee/Agent 'i1p,naturP of Contra'ctor/L1ccnsc Holder
STATE OF FLORIDA SI- I u STATE OF FLORIDA ,,_3+ I ue,u) COUNTY OF COUNTY OF CJ('.,
The forgoing mstrum�was acknowledged before me The forgoing mstru� was acknowledged before me
th1dJ_ day of b . 20212.by ttus .u day of /b , 70 ZQ by
Tc�·:!.i IY:\ � 14;)1 J ¥'.112 ,i =rtr+J� M fil!-Ol, a,
(Name of person acknowledging) (Name of person acknowledging)
(v iP i_ \ ----:,_
.fA,t,,11,/1 fYr/X -I' 7!11(} lo, O ,Y v r I'
(S :21ur o Notary Publlc�of Florid:r') (Sig re f Notary Public-� Florida
Per nally Known )( OR Produced Identiftcatton Personally Known _ __j__ OR Produced ldentrncaucn
Type of rdennucat! Type of ldentifrcanon P ,rl11ce.d
l�· STE?HAHI£ BROOKS -� ,
:. • t: Notary Publ�Jft of Florida Comrrus ston No. IR,• . ' )�n!ROOI(� Commission No. - Commm1 · II 312093 ··oo . �ot�r� - te of F,or re ��"' My Comm. Elp11e$ Apr 5, 2021 .•• ft Corrmlision I GG 31209)
. , •• (?, "'·· , M' (Jmm Expires Apr� -thfooih Mat ecoeeo tnr:ll.!!h National Not•I) Ai;"
Revised 07 /15/2014
--
REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGEl ATION SEA TURTLE MANGROVL
COUNTER REVIEW REVIEW�IEW REVIEW REVIEW REVIEW
DATE I
COMPLETE - ' INITIALS I
JOSEPH E. SMITH, CLERK OF THE
FILE # 4671519 OR BOOK 4379
CIRCUIT COURT -
PAGE 2073,
SAINT LUCIE COUNTY
04:07:39 PM Recorded 02/06/2020
STAJEOf _ __EI_QrjdL._
COUNTY OF --�,Y:U,V�L --=---=
c Ncmc and addres- ot fee Suuplc tmchotder (,t othct thJtl o;mnce]·
4. Conuac or
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Phone �llmlxr
Superior Fence and Rall of Brevard County, Inc:. 2776 N Harbor City Blvd, Ste 102, Melbourne, FL 32!l3!i
321-636-2829 - - - --
' A111uun( of bcod S.n/_a__ __
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W.\R�J"((; TO OV.Nf.� A\.,"{ PAYMLNTS M!\\J'.:, nv nrr UW'<\<R AF'I [R THL r\l'IRATlON or IHI" MHJCI· OF (OMMH,(T.vtE:--'T
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ll\ VQLJR P,\ vrco TWICT tOR 11,{l'RO\'f �1CM'S ro YOUR PR()l-'LRn'. A NOT!Cl:. OF \OMMENCEMFl,ff MUST Bl' RECORDED vvn
1-'f)STED ON THE JOB snr [lEIORE THE f'JRSr INSPCCH0"-1 IF YQU 11\fCND TO 0'1TAP.-l rft,;ANrrN"G. <ONS\JIT \\:TH YOl 1,
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NOTARY PUBUC
STATE Of FLORIDA
CcmmtGG321215
Expire& 4/812023
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