HomeMy WebLinkAboutPermit PackageALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number:---------
COUNTY .............
t '- 0 Ii I O ...
Building Permit Application
Plannmg and Development Services
Buildmg and Code Regulation Div1S1on
2300 Virginia Avenue, Fort Pierce Fl 34982
Phone: (772) 462-1553 Fax: {772) 462-1578 Commercial _ Residential _,,,,G,__
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: {x({)L.:5(de, ?\ Lt-\: N) \ Lo\: 'aJ
PrnpertyTax ID#: 1o] lQ-\gDJ-0;;65-DCO..g
Site Plan Name \�V\C!.O J<YlOO(S
h �·
Lot No .. _
Block No. _
Back: Right Side: Left Side: _
Project Name:------------------------------------
Setbacks Front _
CONSTRUCTION INFORMATION:
tnona war
OHVAC
DElectnc
o �r orme un
LJ Gas Tank
D Plumbing
er t is permit c ec a
OGas Piping
Ospnnklers
app y:
Shutters
OGenerator
D Windows/Doors
ORoof
Total Sq. Ft of Construction:�-------
Cost of Construction:$ 4:@
S� of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
CONTRACTOR:
City: Melbourne State:�
Zip Code: 03_
2
'-
9
3"5'----- fax: 321-638-0086
Phone No. 321·636-2829
E-Mail: spacecoast@supcriorfenceandrail.com
State or County License: c'c:'c:,3,:
3
7:._ _
Company: Superior Fence and Rai\
Address: 2778 N Harbor City Blvd #102
Name: Todd Paroline
Statef\_
from the Owner listed above)
Address:
City r:1: ::1> 1ev:e,e.,
2ip Code: c3:¥?\:!'5 Fax:. _
Phone No. _
E-Mail:: _
Fill in fee simple Title Holder on next page ( If different
Name
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 CountX makes no representation that rs granting a permit will authorize the germit holder to build the subject structure which ,sin 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 granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
1n 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, wal!s, 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
improveme7�0 your property. A Notice of Commencement mus\b�ecorded and posted on the jobsite
before the firs n pection. If you intend to obtain financ���ult · h lender or an attorney before
commencsrz o or recordfna vour Notice of Commenc ent. /11, f / � � j/ Al I /1 s
_ S1gnanue o Owner/ Lessee/Agent Signature of .!Ontractor/License Holder
STATE OF FLORIDA 3:- \.11.(.l(:. STATE OF FLORIDA & UtLlC1 COUNTY OF COUNTY OF •
The f�oing instrument was acknowledg�fore me The forgoing instrument was acknowledged before me
this day of DU� , 20 by th1s__lgdayof tv\(::tj.._( , 20 '2Qby I
ToM m ��,iWJ"' :Jedd 'CD iO. ,K)WA.si ,
(Name of person acknowledging) (Name of person aclmowledgi�
�o��:,�,;� te� �
0- (fl(} � - - , H � 1 a ;t--¥ {1;pJ »:
ign "" f Notary Public- Stiffl!'"01i,lorida ) i
Personally
Known�
OR Produced ldentif,catmn ___ P&s"t nally Known � OR Produced Identification
Type cf tdennficancn reduced Type of roenuncan '""''� ,, - . . (6�) Koury Pub�� of f!orida
Commissmn No. ,,�.; �· (�IE BROOKS ccmmrsston No. i:... ' comm1n1 l1209J ,. w .\ Notary Pubic. St1ttof Flonda '\,8!_r-;':./ My Camm. bpires Apr 5, 2023
�� �; Cammlmon ·' GG 112091 Bonded tt. HitlOn I
· ....... .,...,.,.
Revised 07 / 15/20 14 Bond� U,rou1h Hationa! Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW -
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE
FILE H 4709431 OR BOOK 4421
CIRCUIT COURT - SAINT LUCIE COUNTY
PAGE 2288, Recorded 05/19/2020 12:07:41
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