HomeMy WebLinkAboutMadaline J. Gannon Permit Application 9.21All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I naie: Permit Number:
Ssiro ILU:<;;;[11 �
�' .....:....J- Building Permit Application
Planning and Develapmenl Services i Building and Code Regular,on Division Commercial Resider ti al
2300 V,rginio Avenue, Fort Pierce FL 34982
Phone: (772) 462·1553 Fax: (772) 462-1578
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PERMIT APPLICATION FOR: Fence Installation I
PROPOSED IMPROVEMENT LOCATION:
Address: e5ll'2 \Naten;_toY\C ��'fd I Fov+-�iC[(,f' 1 n, ��5]
Property r" ro ,, 1 � II - 1-00-; ri. - ooo - ':) I lot No.
Block No.
Site.PlanName:�t)��- =
Project Name: Ln } . n
I DETAILED DESCRIPTION OF WORK: i I lr6.tr111 11-0' ol!- L/ we. P=t�e wU-is' �ate
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: '
Additional work to be performed under this permit - check all that apply: _ w,,,+,/Doocs
- Mechanical - Gas Tank _ Gas Piping - Shutters - Pond
- Electric _Plumbing _ Sprinklers - Generator - Roof Pitch
Total Sq. Ft of Construction: 4-03&,,00 Sq. Ft. of First Floor:
Cost of Construction: S Utllitles: - Sewer _Septic l�uildlng Height:
OWNER/LESSEE: I CONTRACTOR: ,
Name �Af\�r\PIV\,'.\ t�nnnn Name: lodd M Parollnc
Address:�� �(W$fone }?Ayq company: Superior Fence anq Rall of Brevard County Inc
Address: 2778 N Harbor City Blvd 11102 City: f.l-_r '(i Statc:EL
Zip Code:JJ.H5l 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@suporiorl, nceandrall.com
from the Owner listed above) State or County License 31337
I
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.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit 10 do the
3frk
and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
Sl. Lucie County makes no representation lhat ,s granting a permit will authorize the permit holder � build the subject structure which is In conflict with any applicable Home Owners Association rules, bylaws or and covenants lh, t may restrict or prohrbn such structure. Please consult with your Home Owners Association and review your deed for any rest rlctl ns 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
tn accordance with the approved plans, the Florida Building Codes and SL tucre County Amcndmen,s.
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 ano her non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result ip paying twice for
improvements to your properjv. A Notice of Commencement must be recorded in the public records of St.
Lucie County and osted on-tli'e jobsite before the first inspection. If yo intend to obtain financing, consult
with leode. tt ;•• Ofo,ocommoncmg wo,k o'. ,c£� JLonrement
S • ure of Owner/ Lessee/Contractor as Agent for Owner Siggawre of Contractor/Licensj Holder
STATE OF FLORIDA �� W'!� STATE OF FLORIDA COUNTY OF � ��� COUNTY OF���,_._-!-',,.,..,_�:,...::;__��
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:
_J
Sworn to (or affirmed) and subscribed before me of
_)(_\<Sslcal Pre�e or Online Notari1ation
this day of -pt:l))JSe.k , 2020 by
1odci to illv<Dl 1ct2J
Name of person making statement.
�wprn to (or affirmed) and sub cribed before me of 'I- Physical Pr��;;:::;;;; Online Notarization iiiis};;:i day of�� 2020 by
::rix;:.)cL h6 � \ , o e e1
Name of person making stateienl.
Personally Known V OR Produced Identification _
Type of ldentificat�
Produced -t-=---
REVIEW
REVIEWS
DATE
RECEIVED
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGE�it8t.--i-!!1"""'1::ift�-i"lffl!\'ffl:�
REVIEW