HomeMy WebLinkAboutKaren June Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: ---------
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial ----- Residential --'/-,..;:;----
PERMIT APPLICATION FOR: Fence Installation
Lot No. ( �
Block No. ---
· PRGPOSED,:IMPROVElvlENf:��bCATIO�f:"·
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Address: -��_._.,--,,c..-.�� ........ �----�.._.�"'--t-'-bl'f----1-'-�'-'"'-�-+-'-"_.....�"--4'-....-----------
P roper t y Tax ID# AJUL Lf DO �003:-4-000::2
Site Plan Name: � S.. )UM� "' Project Name: ' _l -------------------------------
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:$ _35
��0�1. _
Sq. Ft. of First Floor: _
Utilities: _ Sewer _ Septic
Name-4��0-l..�t.=-:::3o..-'----------�
Address: S
city: �+:P\CvGt:,>
Zip Code: ,�S Fax: _
Phone No. _
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRJ\CTOR:
Name: Todd M Paroline
Company: Superior Fence and Rail of Brevard County Inc
Address: 2778 N Harbor City Blvd #102
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 _
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.
J;5,, - '-<ii,: ·{ <:(f. ;.)', ; '� ?> 11/i ,1 SUPPLEMENTA:L�ONSTRUCTION LIEN LAW INFORMATION:
!' ., . ' x ;;- " / '" ,,, ' " .\
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, fence , walls, signs, screen rooms and accessory uses to another non-residential use
Record a Notice of Commencement may result in paying twice for
rope . A Notice of Commencement must be recorded in the public records of St.
on i jobsite before the first inspection. If int nd to obtain financing, consult
ore commencin work or record' r Not' of Commencement.
STATE OF FLORIDA (\:J- l 1 i r , n,
COUNTY OF \)\ l» \.A..{_/ -------��'---"-----'=-----
MANGROVE
REVIEW
SEA TURTLE
REVIEW
VEGETATION
REVIEW
Name of person making statement.
Personally Known� OR Produced Identification _
Type of Identification
Pr uced �-----
Sworn to (or affirmed) and subscribed before me of
__ Physical Pres�-- Online Notarization
this __ day of �j l �by
:JQld th DaillL1�
PLANS
REVIEW
SUPERVISOR
REVIEW
ZONING
REVIEW
FRONT
COUNTER
REVIEWS
Name of person making stateme;;.
Personally Known � OR Produced Identification __
Type of Identification
P oduced =------1
Sworn to (or affirmed) and subscribed before me of
__ Physical Prese�or Online Notarization
this __ day of !l.l.t1( 1C 'loi by
'Jctli V\ \?t'A.vo\1()� I
DATE
RECEIVED
DATE
COMPLETED
ev.