HomeMy WebLinkAboutValentine Permit Application 10.12All 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 Comm erci a I ----- 2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772} 462·1553 Fax: (772) 462·1578
PERMIT APPLICATION FOR: Fence Installation
Residential _'f,__ _
New Electrical Meter Second Electrical Meter _ -
h,
Additional work to be performed under this permit- check all that apply:
--· - 1 :<::'.: t&'" -
Mechanical
Electric
Gas Tank
_Plumbing
_ Gas Piping
_ Sprinklers
Shutters _ Windows/Doors
Generator Roof
Pond
____ Pitch
Total Sq. Ft of Construction:--------
Cost of Construction:$ I Q.9�-=1-. 00 Utilities: Sewer _ Septic Building Height: _
Sq. Ft. of First Floor: ----------
OWNER/LESSEE: CONTRACTOR: a •
Name\ •• Vrl .P Name: Todd M Paroline
Address��= f4-. Company: Superior Fence and Rail of Brevard County Inc
C1ty:-l-\1tJt:_ State: B.... Address: 2778 N Harbor City Blvd #102
Zip Code: 4,4'11.-\11 Fax: City: Melbourne State:�
Phone No. Zip Code: 32935 Fax: 321-638-0086
E-Mail: Phone No321-636-2829
Fill in fee simple Title Holder on next page ( if different E-Ma ii spacecoast@supenorfenceandrail.com
from the Owner listed above) State or County license 31337
If value of construction is 2500 or more, a RECORDED Notice of Commencement rs 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: Applicatmn 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. tuce _County_mak_es no representation that rs granting a permit will authorize the permit holder to build the subject structure
whrch rs in conflict with any apphcable Home Owners Assoctatlcn 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 Jen r or an attorne before commencin work or reco ur Notice of Commencement.
STATE OF FLORIDA � COUNTY OF ' U�C:IC.,
Name of person making statement.
Sworn to (or affirmed) and subscribed before me of
_1Physical Prem� Online Notarization this}2._ day of , 2020 by
Na�e of person making stateinent.
S'-:'9rn to (or affirmed) and subscribed before me of
� Physical Presence or Online Notarization
this n.._ day of Q(iQ� , 2020 by
1Q:-ld, ro m n:11 ne
MANGROVE
REVIEW
SEA TURTLE
REVIEW
VEG TATION
REVIEW
Personally Known ')(, OR Produced Identification--�
Type of ldentificatimr--
Produced. .,..._-----.
PLANS
REVIEW
REVIEWS
Commission No.
DATE
RECEIVED
DATE
COMPLETED
ev.
JOSEPH E. SMITH, CLERK OF THE
FILE# 4765369 OR BOOK 4489
s r A TI'. 1)F __ Florida (\ 1 - cooxrv nr - ut:...WCJL
CIRCUIT COURT - SAINT LUCIE COUNTY
PAGE 1182, Recorded 10/09/2020 01:15:42 PM
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