HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.-------·- Permit Number:---------
Building Permit Application
Planning and Development Services
Bwlding ond Code Regulation Otvtsion
2300 Virginia Avenue, Fort Pierce Fl 34982
Phone: (772) 462-1553 Fax: {772) 462-1578 Commercial _ Residential _'>c"'=----
PERMIT APPLICATION FOR: Fence _ \'\J (_
,PROPOSED IMPROVEMENT LOCATION:.
Lot No. L?'" J:
Block No. _
Back: Right Side: left Side: _
Procertv Ta, ID u; �·��--'-eO:',,"""'.'--n: ,.c
""o"' .'OCfl
1L::.L:-::i.OL1D.1cO""-C
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Site Plan Name: __ .e, ·""' �'"'\-'hP.u,U'--'"-''"- Ylu,C>,:tl.Wd,Lul"'"'---------------- t(� u ProiectName: _
Setbacks Front _
� COf'!�TRUCTl2.f\!.1Nf.0.RMATJON: .•.
Aacl1t1onal worklob�rformed under this permit cFieck all fha.\ apprv:
OHVAC LJ Gas Tank DGas Piping LJshutters
OElectric D Plumbing Dsprinklers D Generator
D Windows/Doors u., L
Total Sq. Ft of Construction: _
Cost of Construction: s _CO
.J.£.c
l.c \'3 ...... _ S� of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
OWNER/LESSEE: .. j :?
State: FL
Fax: 321-638-0086
City: Melbourne
Zip Code: c':.:2_9_35 _
Phone No. 321-636-2829
E-Mail: spacecoast@supenortenceandrail.com
Company: Superior Fence and Rail
Address: 2778 N Harbor City Blvd# 102
1,£S)NTRA£l"Qf'z,.
Name: 1 odd f-'arol1nc Name ' 'fl {)A;...... I I v ,. .,.. ���,-:":':�-----
Address: TI ()
Cttv: � State:E:L-
Z1p Cod;� Fax: _
Phone No. _
E-Mail::.-----------------
Fill in fee simple Title Holder on next page { if different
from the Owner listed above) 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: 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 Coun\X makes no representation that is 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 consideration of the grantinr, 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 building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swrrnmmg 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
improvem��t your property. A Notice of Commencement must be recorded and posted on the jobsite
before the fir t inspection. If you intend to obtain financing, consult with le�r or an attorney before
ccmmeet in w lfk or reccrdine vour Notice of Commencement. ..,.,.. .. -
/L 11� �//4-/ s
_ '.:,1gnj{ur�f Owner/ Lessee/Agent Sigrratffl'e of Lontr;:ictor/L1ccmc Holder
STATE OF FLORIDA s'.:x \ 1JU6 STATE OF FLORIDA � lUJ COUNTY OF COUNTY OF ue I
The 2..-:¥mg instr�nt was acknowledged before me The z:ting instru� acknowledged before me
this day of �a.&2:Jj 20 "1D.hy this day of �' 20 ID.. by
1�0.m $l vOUJ::lt I To:tl m �t1.nV (NaJ.ne of person acknowledging ) 0,c o�c�� :�w�i�
0 r J �')<:'. CQ'),n.,.,, �Cf J - � . I of Notary Public· !�L"Of Florida) (:� utc f Notary Public· Sta\£)11 Florida )l
J,aally
Koown -� OR Produced ldenntrcancn ___ Personally Known � OR Produced tdentiftcatron
fype of Identification reduced Type of Identification Prod oa -
e• {
�� ST�.+.!'!� 8110011S ccmmtsccn No. _..-,,..,,, * �1tHIE BROOKS
comrrussmn No. /� :· Notary lli'l Wt of F\cnda R� -: NotJ le· State of ncnoe -- -� �- Commis11onlGG)1209J i .;,. '{j, Comm1n1on � c.G 311093
� ..,.. My Comm. upirH Apr s. ion ·-...<! .. 'f--Y My Comm. EJ:�esAcr 5 2021
Sanded throuat, tlatlona\ Motary ASSII. B�fii'ougli Na!lonat Notary ,1.,�>I" J
Revised 07/ 15/20 I -
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
1-COMPLETE
INITIALS - -
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