HomeMy WebLinkAboutNguyen Permit Application 7.16.\II APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ Permit Number:---------
Building Permit Application
Planning and Development Services
Buildmg and Code Regulat1on Division Commercial ----- 2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: {772) 462-1578
Residential X _,,-�---
PERMIT APPLICATION FOR: Fence Installation
Lot No. _
Block No. ---
LOCATION:
DETAILED,DESCRIPTION OF WORK: c
Property Tax ID#: ,:=-�=�-:--:-'-c�������=�-�----------
Site Plan Name: -l--"'-'"'1-.__._'-"'-'""l"'-"lµu._ _
Project Name: T
Address:
New Electrical Meter Second Electrical Meter _
Additional work to be performed under this permit- check all that apply:
Mechanical Gas Tank _ Gas Piping Shutters _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers Generator Roof ____ Pitch
Sq. Ft. of First Floor:---------- Total Sq. Ft of Construction:����=---
Cost of Construction:$ �Q 09 • ()() Utilities: Sewer _ Septic Building Height: _
OWNERJtESSEE: . " 0.JNTRAQOR: " -- 0 - �:;,:z:ttf.���pgh Terr.
Name: Todd M Parohne
Company: Superior Fence and Rail of Brevard County Inc
Address: 2778 N Harbor City Blvd #102 Cttv: • \.!', State: fl.._
Zip Code: ?,,1¥152. Fax: City: Melbourne State:�
Phone No. Zip Code: 32935 Fax: 321-638-0086
E-Mail: Phone No 321-636-2829
Fill in fee simple Title Holder on next page { if different E-Mail spacecoast@superiorfenceandrail.com
from the Owner listed above) State or County License 31337
If value of construction rs 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 CONST�UCTION LIEN LAW JN!iORMATION: '
' ' s: ' -"' - '
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:
'
OWNER/ CONTRACTOR AFFIDVIT: Apphcanon 1s hereby made to obtain a pr-mut to do the work and mstallauon as indicated
I certify that no work or installation has commenced prior to the issuance of a permit.
St Lucie County makes no representation that rs granttng a permit will authcrtzc the perrrut holder to build the subject structure which ts in conflict with any applicable Hom!' Owners Association rules, bvlaws or and covenants that may rcstnct or prohrbtt such structure. Please consult with your Home Owners Assocrauon and rcvn-w your deed for any resrrtcnons which may apply.
In consrderatlon of the granting of this requested permit, I do hereby agree that I will, in all recpecu, perform the work
m accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments
The following buildinr, permit applications an- exempt from undergoing a full concurrency review: room additions,
accessorv structures, swimming pools, frnres, walls, signs. srreen rooms and acce ssorv uses to another non-rusrdcnual use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucre County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender an orncy before commencing wor�r recording Notic f Commencement.
STATE OF FLORIDA <::>l. Li , r , , ,
COUNTY OF _cy'-"_1_'---�=�=<="----
Name of person making statement.
rcrsooanv Known-� OR Produced rdonuncenoo _
Tyf)P of tdentttu-atron
oducrd
S� to (or affirmed) and subscnbec before me of
___L::1?:hys1cal Presence or __ Online Notarization
thi, p day of , 2020 by
Toc:i:::l \Y\ 'fa v01, ne
Name of person making statement.
Personally Known _Y--,� OR Produced rdcntlfir anon _
Tyre of Identification
' odurcd
n to (or affnmcd] and subscribed before me of
:f!!_ys1cal presence or __ Online Notarization
_t:2 day of c M h_r , 2020 by -1 Tedd (V\ ®Olln0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
---+CC.:O_U_N_T_E_R-+_R_E_V_IE_W __ 1,-R_EV_I_EW_4-:C
RE::_V_c
l::_EW-'--+--R-EV_I_E_W __ +-_R_Ev_1_Ew __ +-_R_E_v,_E_w_
DJ\TE
RECEIVED
DATE
COMPLETED
ev 5/6/2
JOSEPH E. SMITH, CLERK OF THE
FILE# 4729885 OR BOOK 4446
CIRCUIT COURT - SAINT LUCIE COUNTY
PAGE 2141, Recorded 07/16/2020 09:33:09 AM
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