HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:--------- Permit Number: _
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division Commercia I ------ 2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential --fJ
F'---
Lot No. ,,?4:
Block No. _
PERMIT APPLICATION FOR: Fence Installation
JMPROVEME �O�C�A�Tl�O�N-:��-::,�-::,.,..,������
Address 411- Wfrom Cvr:, r+ f1Ck£, FL- ,3¥J4S
PropertyTaxlD# 1::Q-- SD�owoo-D
Site Plan Name: ---.:\f
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' • i.' Project Name: _
New Electrical Meter Second Electrical Meter _
[ �QNSTRU(;'l'ToN INFORj,iTION: - tOtz r
Additional work to be performed under this permit- check all that apply:
____ Pitch
Mechanical
Electric
Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinklers
Shutters _ Windows/Doors
Generator Roof
Pond
Sq. Ft. of First Floor:----------- Total Sq. Ft of Construction:--------
Cost of Construction: S � Utilities: Sewer _ Septic Building Height: _
. QWNER/Le!lSEE: .. - CONTRACtCJR: .,,JP+ .. .. a -·· Name - \r{l,lVI ll ............ Name: Todd M Parolme "
Address: A\ \ - r, ,_ Company: Superior Fence and Rail of Brevard County Inc -
City, �±� StateEL. Address: 2778 N Harbor City Blvd #102
Zip Code: �= = 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 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.
SUPPLliMENT�COIII.SIRUCTION �rffAW INFORMATION: .J "• H - H 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 mstallattcn 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 rs 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 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 d posted on the jobsite before the first inspection. If i end to obtain financing, consult
with I r n attorne before commencin work or recordin o r ot e of Commencement.
STATE OF FLORIDA A\:: LI COUNTY OF ' j CV •c
STATE OF FLORIDA C\i 1,.,, " ,
COUNTYOF_��-'-,.2["'-��""""'"-���
Commission No.
Name of person making statement.
Personally Known� OR Produced Identification _
Type of ldennftcanon
Produ ed __ �------=l--
Sw rn to {or affirmed) and subscribed before me of
Physical Presence �c�Online Notarization
day of 1'.ID:v'� , 2020 by
rue\ ro '1?l1vct I tit,
Personally Known ..._£) OR Produced ldennfrcatton _
Type of ldent1ficat1�
Pr duced�-------,f'r--
S rn to (or affirmed) and subscribed before me of
Physical Pres®�r __ Online Notarization J.a' day of Jnbi Jc: , 2020 by
'1l!VDlU:wJ
Name of person making statement.
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.