HomeMy WebLinkAboutSkye Thompson Permit Application 9.23All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number: --,-------
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial ----- Resid ntial _'f _
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION:
Lot No. _
Block No. _
I DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter _
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit - check all that apply:
_Mechanical Gas Tank _ Gas Piping Shutters
Utilities: _ Sewer _ Septic
Pond
Name: Todd M Paroline
company: Superior Fence and ail of Brevard County Inc
Address: 2778 N Harbor City Btyd II I 02
CONTRACTOR:
c,ty: Molbourno State:�
Zip Code: _3_
2
9_3_5 1
Fax: 321 638·0086
Phone No 321 636 2829
_Windows/Doors
Generator Ropf ----- Pitch
Sq. Ft. of First rtoor: -=�-+
I
_ _ Sprinklers _Plumbing Electric
Phone No. _
E-Mail: _
OWNER/LESSEE:
Total Sq. Ft of Construction:--------
Cost of Construction:$ Y -=t-! 2 · 00
Fill in fee simple Title Holder on next page ( if different E-Mail spacecoast@supenorfc ceandrail.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:
Name: ------------------- Add r cs s: _
City:----------- State: __
Zip: Phone _
FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: _
Address: ------------------ City: ,..,.- _
Zip: Phone: ------ ------------
MORTGAGE COMPANY:
Name: Addres_s_
:
-------;------------
City: -----,:-:-----;-----State: __
Zip: Phone: ----- -t-----------
BONDING COMPANY:
Name: _
Address: --------t----------- C it v: _
Zip: Phone:_+----------
_ Not Applicable _ Not Applicable
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit lo do the, ork and mstatlauon as indicated-
I certify lhat no work or installauon has commenced prior lo the issuance of a permit.
St. Lucie County makes no representation that Is granting a permit will authorize the permit holder o build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants th t may restrict or prohibit such structure Please consult with your Home Owners Association and review your deed for any restrict 1<>ns 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. Lucic County Amendrnen ;s.
The following building permit applications are exempt from undergoing a full concurrency review· r om add1t1ons,
accessory structures. swimming pools, fences, walls, signs, screen rooms and accessory uses to ano ner non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result i paying twice for
improvements to your property. A Notice of Commencement must be recorder in the public records of St.
Lucie County and.aosted on thejobsite before the first inspection. If you intend to obtain financing, consult
with lender or/n.a<tornev before commencing work or recording your bl-6tice c Commencement. ��/1 r ·-=-� � (_
Signature of Owner/ Lessee/Contractor as Agent for Owner S,gn·ature of ContracLor/Liceiisc Holder
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STATE OF FLORIDA (\ , \ t I ( : l'l) COUNTY OF ,�--t+-
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REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/ LU
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
Sworn to (or affirmed) and subs, rbed before me of � Physical Pre�IJ,Ce o,r Online Notarization this].Q day of '>I' J.JTI .IY"1 "'D l-�020 by
1 -v5 M rY\ +1'AJ 1--d U/\ o 1
Name of person making statement.
Personally Known� OR P oduced Identification _
Type of tdcnnflcatton
Pro� e. fil/\Jl A'\) ft 11 tlJ 21'.tJ
(SI lej - f • - c"•• • 1,r, :�- \ gn ire o , ,_ - . . J�> S :PHAS1£ 8R00(S Comm,ss,on Nd ':.: .. · • '0wi ?t.o," · SYt�Seelllda
I · '¥'"1£ ·�" nlSSlon < GG )1209) v 0•"-" My Con m. E�plres Apr S. 2023 I --.--.---,9"rnto<! hr<K 1rrmna,,,, aotari Assn. ,--
PLANS VEGETATION SE:,A I UI\ I LC ....... GROVE
REVIEW REVIEW l!EVIEW REVIEW
e)llur't of Not, IV J!ubli,·, Stlr<e �ffL -- 1"
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lt2Ml Commission No. ,.t , ,� ··mm Et rs. 2023 . �· ... I_.,. I ' a I aordoc tt,rocth Satlonat Noury Assn.
S�g,;n to (or affirmed) and subscribed before me of .r: Physical Pre�c� ;:::;:-t::;jj ?,line Notarization
this fi day of� 2020 by
:::J70cld- V\ f)Qv0Lt.K>0 Name of person making statement.
Personally Known \/:... } OR Produced tdenufication _
Type of ldentificat�
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