HomeMy WebLinkAboutLorenzo Rossi Permit Application August 21 2020All ;.PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number:--------
Planning and Development Services
Bui/ding and Code Regulation Division
2300 Virgmio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial ----- Residential ------
Building Permit Application x
PERMIT APPLICATION FOR: Fence Installation
Address: _ ........ ---'"""'""' ....... .....,..:.u..,...,_,."'-'--.w.:,""-'---.....:::c..;'-'--'-...x..1...1._,_...!..>"-'-""""'--'"'-l,.....,_ __ ==--.....__,._,'-'-......_--"""7""'-,---
P ro p erty Tax ID II: 2J?\D-602-0!D6-Cd)-lP Lot No. \UP
Site Plan Name: lon:D];{) � Block No. _
Project Name: LorFt"\1;{) 'Rili'>�
I DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter _
I CONSTRUCTION INFORMATION:
b
Additional work to be performed under this permit - check all that apply:
_Mechanical
Electric
Gas Tank
_Plumbing
_ Gas Piping
_ Sprinklers
Shutters _ Windows/Doors
Generator Roof
Pond
____ Pitch
Total Sq. Ft of Construction: --------
Cost of Construction: $ lf ,3&'± CO
OWN ER/LESSEE:
Sq. Ft. of First Floor:----------
Utilities: _ Sewer _ Septic
CONTRACTOR:
Building Height: _
City: -1-L--l-�;,:....l..o..-c:::;. _
Zip Code:_,_.....__._ ....... '--- Fax: _
Phone No. --------------- E - Mai I: ----------------
Name: Todd M Parolino
Company: Superior Fence and Rail of Brevard County Inc
Address: 2778 N Harbor City Blvd #102
City: Melbourne State:£!:_
Zip Code: 32935 Fax: 321-638-0086 ------ 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 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: 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 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 t Record a Notice of Commencement may result in paying twice for
improvements to your proper A Notice of Commencement must be recorded in the public records of St.
Lucie County cl P. st on jobsite before the first inspection. If in end to obtain financing, consult
with I er an ore commencin work or recor _.:_ ice of Commencement.
STATE OF FLORIDA c::::-.L 1 , ,r ,P . COUNTY OF 1... )', 1..-v\V\\...../ ----��---�-------
S rn to (or affirmed) and subscribed before me of
hyslcal Prese�
c
e or Online Notarization
this \ day of _vsf , 2020 by .....__ \odd tY\�av:ot \Of?.
Sworn to (or affirmed) and subscribed before me of
'IC Physical Presence or Online Notarization
this:U..dayof� =y
]Qjd fY\�\\ �
MANGROVE
REVIEW
SEA TURTLE
REVIEW
VEGETATION
REVIEW
Name of person making statement.
Personally Known '? OR Produced Identification _
Type of Identification
Produced-------.....----
PLANS
REVIEW
SUPERVISOR
REVIEW
ZONING
REVIFW
FRONT
COUNTER
REVIEWS
Name of person making statement.
Personally Known 'f OR Produced Identification
Type of Identification Produced _
DATE
RECEIVED
DATE
COMPLETED
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE H 4743545 OR BOOK 4463 PAGE 847, Recorded 08/18/2020 12:59:23 PM
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