HomeMy WebLinkAboutBrian Miles Permit Application August 21 2020All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number: --------
Building Permit Application
Planning and Development Services
Building and Code Regulorion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial ----- Residential --�---
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION:
Address: 40\ & ve'v{}..().o..., A:vf, '.?otl& WLlQ, 8 34983
P�opertyTaxlDII: �!53°�
.
€>C0 -3
Site Plan Name: �t.a..Q_\.:1tles__ �\ l •
Project Name:----------------------------------
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:
Lot No. 44
Block No. 32
_Mechanical Gas Tank _ Gas Piping Shutters _ Windows/Doors Pond
Electric _Plumbing _ Sprinklers Generator Roof ____ Pitch
Total Sq. Ft of Construction:--------
Cost of Construction: $ -:t\ -:\--\p Utilities: Sewer _ Septic Building Height: _
Sq. Ft. of First Floor:----------
OWN ER/LESSEE: CONTRACTOR:
Name �hQ_ l{)lJ \.f\,\p,S Name: Todd M Parolino
A�dress:&f��Y�O. Bve) company: Superior Fence and Rall of Brevard County Inc
State:&.- Address: 2778 N Harbor City Blvd #102 City: � _(..;_
Zip Code: � �%3 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 spacocoast@supcriorfencoandrail.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 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:
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.
St. Lucie Countx makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in con kt with an\' applicable Home Owners Assoclatlon 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with le r a tt rne b fore commencin work or recordin our tice of Commencement.
STATE OF FLORIDA 8k \J,(.(,\f COUNTY OF ,
Name of person making statement.
Personally
Known�
OR Produced Identification _
Type of Identification
Produced'-----��----
�w_prn to (or affirmed) and subscribed before me of
Y., Physical Preserce or __ Online Notarization
�day of \JAt�,. , 2020 by
=:TG:k!- rn �lXv:O �
Name of person making statement.
Personally Known� OR Produced Identification _
Type of Identification
P. educed �.q _
Sy.,,.orn to (or affirmed) and subscribed before me of ..L Physical Presence or __ Online Notarization
this'r2.,:. day of ,.JIA"-f , 2020 by
,@, \'Y\ Wlvd1rr2
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 LUCIE COUNTY
FILE# 4744766 OR BOOK 4464 PAGE 2106, Recorded 08/20/2020 01:38:36 PM
NOTICE OPCOM�1ENCF.M£.\"T
------ --- -----
4 <.:onlroc-;�r:
a.
b.
Name and 1n!d(c�s;
J'hune number.
·----------------- ---
Superior Fence and Rail of Brevard County, Inc. 2778 N Harbor City Blvd, Ste 102. Melbourne, FL 32935
321-636-2829 . -----------
c. Phone number. -C'�(=a�----
5. s�ry:
a. N�neanduddr,,;,,;: �
n
�
/
a�-------------------------------------
b. Amoum of bond S,.l.lL�------------
6. Lerukr:
u. Namcand<kldn:ss: .Jlla __ --·-----
b. Phone number: ..I.11.i.__. _
Persons wilh the St:ttc of Florida designated by Owne upon whom noiiccs <>r vthcr dQCt11ll�nts lll.t)' be served as provided by Section 71J. i 3( l)in)7. FhuiJa Statute;:
------------ -------
ln .,.!diriou to himS<'I !', Owner designates the fol!<>w111g per.<ou(s) lo receive a copy of the Lrenor's Nouce •� pro, ided ,n Section 7 lJ. IJ( I )(b), Florid, S1a1u1c,:
a. Nonie m1J sddress:
a, Nsme and address; ..!J/E. _
b. Phone number: .nl� __ ------· s.
9.
b. rhonc number: .Dia_ __ ------
Expirunon date ot'notice of commencemeu (the expirauon J:ne ,s om· (I) year from th< ,rare of rccord•n(! unless e different date is specified) _
WARNING T(J OW�ER: ,\NY PAYMENTS MADI., BY THE OWNEII AFTER TIIE F.XP!RAT101" 01' nm NOTICE OF COMMf!NCEMt,NT
ARE CONS!OE.RF.l) IMPROPER Pl\ YMENTS IJNOER CHAPTF.R 713, PART I, S!:C110l\ 713.13, l'LORlD STATUT!lS. ANI> C..\N RC.SULT
IN YOUR PAYIJ\G 1WlCE FOR IM\'ROVEMl;t,;TS TO YOUR PROPERTY.. 01'1(:C: OF COMMENCE NT MUST BE Rl:COROr.O ANn
l'OSTl;D ON THE JOR sin; BEF'()Rfc THE FIRS'f fNST'cCTION. rr y u ENO TO OBT !-; Fl I\ C!NG. CONSULT Will I YOlJR
U,NDER OR AN 1\Tl'ORNEY BEFORE COMMENCING WOl!K OR REC 1)1 1 YOUR NOTI(I: )F cc ENcr:MENT.
---- . ----- --- -- - Signntur� oJ'Own r or Jwnen /\11tl11>ri1.cd Om�cr101rtc111r!Partner/Ma11ag<1r
StgniHOry1� 'l'tf!G:' ICC �\," ------· ----
-» ll1e for�going instrnn1e111 was acknowledged before me chi., it«. day <•f .,:C, l..1 • l)o:t{) by
�----(n:uncofperson);�< O;.,.Nl<'..I?., 7 ·--· - _(rypeofaull1or11y ... ,·�.
officer, trustee, �u1ornty in fact) for . Z (nom"' pa v on bel1atf IJ,;..st;\�n instl\1mcol was executed].
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