HomeMy WebLinkAboutDarrell Powell Permit Application- All Af'PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ------
Planning and Development Services
Permit Number: ---------
Building Permit Application
Residential __ '[ _ 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 IMPR0VEMENT LOCATION:
Property Tax ID #: ---L....L...:....LJl!�--1-�::....:.....Jl!:....=...-L-�IL-.....,,,,,'---"""'-""c..,i,o::..--'----=c..=..:::"---__..,,,,,=---------
Site Plan Name: l:X}ff£\ 1 fD\N.ll \
Project Name:lXJKy-Ll \ ToWt:\ \
\05-td.il 13 I' DP:: lo' Pk� WH-h HS' gru<
New Electrical Meter Second Electrical Meter _
Additional work to be performed under this permit- check all that apply:
Lot No. _
Block No. _
Mechanical Gas Tank _ Gas Piping Shutters _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers Generator Roof Pitch ----
Total Sq. Ft of Construction: _
Cost of Construction:$ 441:D ro
OWNER/LESSEE:.
Sq. Ft. of First Floor: _
Utilities: _ Sewer _ Septic
CONTRACTOR:
Building Height: _
Name: Todd M Paroline
Company: Superior Fence and Rail of Brevard County Inc
City: ...L....1,L.!_.L......L..,...U.L.!......:!�------- State: a Address: 2778 N Harbor City Blvd #102
Phone No. --------------- E - Mai I: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
City: Melbourne
Zip Code: _3_29_3_5 Fax: 321-638-0086
Phone No 321-636-2829
E-M a i I spacecoast@superiorfenceandrail.com
State or County License 31337 -----------
State:�
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
-", ,:r-=:, ·:: .,,; ,-._;::: ::,::
Name: ------------------ Address: _
City: State:
Zip: Phone _
_ Not Applicable
Name: _
Address: ------------------ City: State:
Zip: Phone: _
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: ------------------ Address: _
City: _
Zip: Phone: _
Name: _
Address: _
City: _
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 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 and posted n the jobsite before the first inspection. If Y, intend to obtain financing, consult
with lender n attorn before commencin work or reco in r Notic Commencement.
STATE OF FLORIDA Gt I , • r , n 'I COUNTYOF \�J���LU.. __ LAA,.1 _
S rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
t 1s�dayof (YL\K].r:\ ��Y
Too¢ tr\ fCll-0�
Name of person making statement.
Personally Known+ OR Produced Identification __
Type of Identification
Pro ced --:::.,.........---
STATE OF FLORIDA � \ l � �, ,. 1 COUNTYOF �.l)t,,,__�������---
Sworn to (or affirmed) and subscribed before me of
�ysical Pres�� Online Notarizatip.,_n..,l thfs-�day of � , � by 2--L> '-'
TQ:kl rn filM) \.ua.e_.,
Name of person making statement.
Personally Known� OR Produced Identification _
Type of Identification
Produced _..,..�--
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev.
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW