HomeMy WebLinkAboutSabrina Christian ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _
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Planning and Development Services
Permit Number: ---------
Building Permit Application
Residential -1---- Building and Code Regulation Division Comm ere i a I ----- 2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION:
Address: I 1).r. fbvr
Property Tax ID#: � ID- 5D2-D uq-o(X)-Lp
Site Plan NamerPCl}ajba
I Ch.Q �fl(lf)
Project Name: �ltl?rit)Q; CJ}t]&t:JOX)
Lot No. l 11::
Block No. _
I DETAILED DESCRIPTION OF WORK: J '-r:::-:;-r--;;-;-�-,_--;--.--=-.--::--��-.---:-=-;----__!.__ \DSt-al\ \4-1-' cli:le' PJl Uhce Wl±:h \-5' gllk
New Electrical Meter Second Electrical Meter _
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
Mechanical Gas Tank _ Gas Piping Shutters _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers Generator Roof Pitch ----
Total Sq. Ft of Construction:�-------
Cost of Construction:$ ,?{p�Lf:. 41=: Utilities: Sewer _ Septic Building Height: _
Sq. Ft. of First Floor:
OWNER/LESS,EE: J • CONTRACTOR:
-�ame ffi hlG CTW191an Name: Todd M Paroline
Address:� 12 Erilm �r-cat.1>r. Company: Superior Fence and Rail of Brevard County Inc
City: rt)� Q1'1.,�e, Statef::L Address: 2778 N Harbor City Blvd #102
Zip Code2,zl..¥1Lf5 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-Ma i I spacecoast@superiorfenceandrail.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.
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: I
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 representation that is granting a permit will authorize the permit holder to build the subject structure
which is 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 a d posted on the· site before the first inspection. If you intend to obtain financing, consult
with lend o e be e commencin work or recordin r Notice of Commencement.
STATE OF FLORIDA .)\-:: Lu_ COUNTY OF I WJ STATE OF FLORIDA9\::: Lu f) COUNTY OF '" CJ
Name of person making statement.
S�rn to (or affirmed) and subscribed before me of
____:__,, �h,Xsical PreSr{lle or __ Online Notarization
this .uJt day of ..\:t'.b� .� by ' 'U)l...) Ta:H oo'?avQ \V)fJ
OR Produced Identification _
Name of person making statement.
Personally Known 'f
Type of Identification
Produ ed'---------=c-----
S'{..,rn to (or affirmed) and subscribed before me of
�.�h,Ysical Presf e or __ Online Notarization
this� day of ��JU11m..r
T-u;;B yY) \1').VDllV\f2
OR Produced Identification Personally Known '£
Type of Identification
Produced
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED