HomeMy WebLinkAboutBuilding Permit ApplicationAll 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 e rcia I ----- 2300 Virginia Avenue, Fort Pierce Fl 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence Installation
Residential--+'><] _ I
"PROPO� IMPROliCMENTte!t'.ATION; -, -
Address: __J&ros
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Property Tax ID#: 22,]il- um-0]42- [:(Q-$
Site Plan Name: O'.lv1os ce\ ftyYD
\I \ ' Project Name: _
Lot No. , 33:::
Block No. _
' DETAILED.lilESCRIPTION'Qf WORK:
New Electrical Meter Second Electrical Meter _ --
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: $ ggq.- \ Utilities: Sewer _ Septic Building Height: _
Sq. Ft. of First Floor:----------
it:JWNER/l'ESSEE: ' ' '' ,CONTRACTOR:
Name ( VIO:, I 11' '" , Name: Todd M Paroline
Address: ' " " v\_ Company: Superior Fence and Rail of Brevard County Inc
City: fr P1t: v(,('._, State:fi._. Address: 2778 N Harbor City Blvd #102
Zip Code: (.)1:q45 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@supenorfenceandrail.com
from the Owner listed above) State or County License 31337
If value of construction rs 2500 or more, a RECORDED Notice of Commencement ts required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SVPPLEMEll!ll"Al CONS�N LIEN LAW IN FORMAT.JON:
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 representatmn that rs granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Associancn 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, m 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 fail re to Record a Notice of Commencement may result in paying twice for
improvemen to your pro rty. A Notice of Commencement must be recorded in the public records of St.
Lucie Co d posted the jobsite before the first inspe · . If ntend to tain financing, consult
with I an ttorn before commencin work or r rd· o ice of mmencement.
Sign
STATE OF FLORIDA Cn COUNTYOF�����\)1:4-�luc,t.Q__""',ccc_-=---��- STATE OF FLORIDA .CU L" " .• ' COUNTY OF_������-�"'�"'-"-'����-
Nam�erson making statement.
Personally Known_..:::£.___ OR Produced ldentificatmn _
Type of ldentrftcatlon
Produced, -,--:;oa,--
Sworn to (or affirmed) and subscribed before me of
� Physical Presen1or � Online Notarization
thts :Ji[ day of hlJ\lc'.W1'l<k::: 2020 by
Troe! ID 1?0\td;,.nQJ
rn to (or affirmed) and subscribed before me of
P ysical PreNDVor Online Notarization
this day of �rnl:ii Jc:-, 2020 by �
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED ev.