HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a\.;L4 `z-b Permit Number:
RECEIVED
Building Permit Applicatic n FEB 2 6 ?�?�
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1S53 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence—1231aln UY1 L
PROPOSED IMPROVEMENT LOCATION:
C
Address: ;:k .7c —IIeWQ (2+ � rby+& ult-0 , li�L34a M
Legal Description: V2WCI, ga �. It _1 M, (Q4 LD�- 6
PropertyTax ID #: \�J'TI' Lot No. S
Site Plan Name: DADA JIA nYRl Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION=OF WORK:
IY1S1Gill _:I�01 4 WhS' P00I CCdx .
7aitionai worK to oe
❑HVAC
❑Electric
ertormea
unaer trus permit— CneCK an
Tank ❑Gas Piping
[]Sprinklers ❑Generator
apply:
Shutters ❑Windows/Doors
❑Roof
—Gas
ElPlumbing
Total Sq. Ft of Construction:
Cost of Construction: $ QjGJZ
5 Ft. of First Floor:
Utilities: Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR.
Name
Name: Todd Paroline
Address:
Company: Superior Fence and Rail
City: W ( 'Aim State: r r l_
Zip Code: y ' l _Fax:
Phone No.
Address: 2778 N Harbor City Blvd #102
City: Melbourne State: FL
Zip Code: 32935 Fax: 321-638-0086
Phone No. 321-636-2829
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: spacecoast@superiorfenceandrail.com
State or County License: 31337
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and 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 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 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 len er or an attorney before
commencinR.twod< or P6&dinalvour Notice of Commencement.
Lessee/Agent
STATE OF FLORIDA ��
COUNTY OF � L
The forgoing instrurli QenIt^ was acknowledged before me
this � day of �Nq&WA4 20 Eby
-r-ld tv\ �&Vu f y .
(Name of person' acknowledging )
let -of Notary Public- ate of FI r a )
\/
Known 7�, OR Produced Identification
Type of
Commission No.
Revised
STEPHANIE BROOKS
y PubliES(3* of Florida
mmission # GG 312093
imm. Expires Apr 5, 2023
STATE OF FLORIDA �L� r` n
COUNTY OF `A Ll_t�)
The for oing instr ment was acknowledged before me
this day of _� 20 by
Tnc01 My� t �O�.t-.yn
(Name of person acknowledging )
of Notary Public-
PVr onally Known
Type of Identificai
Commission No. _
OR Produced Identification
STR�ogp BROOKS
Notary Public late of Florida
Commission F GG 312093
National Notary Assn.
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