HomeMy WebLinkAboutEugene Green Permit Application August 5 2020All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ Permit Number: --------
Building and Cade Regulation Division Commercial ----- 2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462·1578
Planning and Development Services
Building Permit Application
Residential --"X
_
,
,
_
_
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION:
Lot No. _
Block No. ---
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter ---- ------
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
Pond
____ Pitch
Building Height: _
-�oof
_ Windows/Doors
Generator
Shutters
Sq. Ft. of First Floor:----------
Utilities: _ Sewer _ Septic
_Gas Piping
_ Sprinklers
Gas Tank
_Plumbing
_Mechanical
Electric
Total Sq. Ft of Construction:---,.------
Cost of Construction: $ _4Q
�
�P-:t_._ _
CONTRACTOR:
City: Melbourne State:�
Zip Code: _3_
2
9_3_
5
Fax: 321·638-0086
Phone No 321-636·2829
Name: Todd M Paroline
Company: Superior Fence aJ1(J Rail of Brevard County Inc
Address: 2778 N Harbor City Blvd #102
Fax: _
City: ..i-l�!.-1...!.:��-------
Zip Code: � 5]
Phone No. _
E-Mail: _
OWNER/LESSEE:
Fill in fee simple Title Holder on next page ( if different E-Mail spacecoasl@superiorfenceandrail.com
from the Owner listed above) State or County license._3_
1
3_3_7 _
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 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: I 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: 1
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit. I
St. Lucie County makes no representation that Is granting a permit will authorize the permit holddr 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 w,11, 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 fail e to Record a Notice of Commencement may resul� in paying twice for
improvem ts to your pro rty. A Notice of Commencement must be ecorded in the public records of St.
Lucie ou y and posted the jobsite before the first inspection. If u intend to ob in financing, consult
wit r ran torn before commencin work or re u Nof e f Co encement.
Sworn to (or affirmed) and subscribed before me of
-Physical Presence or Online Notarization
this A_ day of f\:y� . 2020 by
� tv\flc � Name of person making statement. Name of person making statement.
Personally Known { OR Produced Identification _
Type of identification
P�uced
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIEICOUNTY
FILE H 4737952 OR BOOK 4456 PAGE 1506, Recorded 08/05/2020 09:57:57 AM
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i, l'oonc nol\>1':: 321-636-282')
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