HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: ---------
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial -----
Planning and Development Services
Building Permit Application
Residential---'�----
PERMIT APPLICATION FOR: Fence Installation
�ROPOSEb JMHBOVEMENTLOCATION:J
Property Tax ID#�==!\-1{)��-0C()::lJ,
Site Plan Name: U£1_�ew �
Project Name: -Maill}e
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Lot No. I IS
Block No. _'5 _
("< DETAILED DESCRIRTIGN OF WORK:
New Electrical Meter Second Electrical Meter _
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
Building Height: _
Total Sq. Ft of Construction: _
Cost of Construction: $ Y:1:-Bf). (X)
Sq. Ft. of First Floor: _
Utilities: _ Sewer _ Septic
CONTRACTOR:
State: .fl__
Fax: -------- City: Melbourne State: FL
Zip Code: _3_29_3_5 Fax: 321-638-0086
Phone No 321-636-2829
E-Ma i I spacecoast@superiorfenceandrail.com
State or County License_3_13_3_7 _
Name: Todd M Paroline
Company: Superior Fence and Rail of Brevard County Inc
Address: 2778 N Harbor City Blvd #102
Name_...,_"'""""....__..........,..,...__._.. ........... -"---t....._,.-------�
Address::;;;J";f.2"5�����_.cu..�L.-------
City: fl:.Pt£YC£,,
Zip Code: �5]
Phone No. _
E-Mail: ----------------
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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.
. SUPPLEMENIA� cq�st�VGJIPN .,LIEN.4LAW 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: 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
STATE OF FLORIDA <lL \ , . r a n ,
COUNTYOF __ ��=-c....L�L.U..�;;_;....;:;���-���- STATE OF FLORIDA (\i_ \ ,, r tt=> 1 COUNTYOF __ __,,����-==..,��"'-=L/,:c__ _
REVIEW
rffft���������OVE
REVIEW
Name of person making statement.
Personally Known ¥ OR Produced Identification _
Type of Identification
Produced _
Sworn to (or affirmed) and subscribed before me of Y. f1ysical Prese� Online Notarization
this day of � ,151.�Y
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PLANS
REVIEW
SUPERVISOR
REVIEW
ZONING
REVIEW
FRONT
COUNTER
REVIEWS
DATE
RECEIVED
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification
Produced ---,,.,,..,,,,.�---=---
Sworn to (or affirmed) and subscribed before me of _1 c:aysical Pre�r __ Online Notarization
this day of � \ ,�by
n:cl m i-OJil lne_ W2-I
DATE
COMPLETED
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