HomeMy WebLinkAboutApplication - Marie RiveiraAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -------- 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
PERMIT APPLICATION FOR: Fence
Commercial ---- Residential -K�--
PROPOSE'.1:flMPROV(MENT LOCATION:
Address: S �
Legal Description: (XLt.taa:1 lllt7.e �Jes
PropertyTaxlD#: \3\\-S}oO-a)\.oC\ ::0()0 :S
Site Plan Name: talv I c., jl\�f\y{j
Lot No. 5l0
Block No. _
l. Project Name: _
Setbacks Front _
I DETAltED DES��l�TIP��QF wo�K:
l\"6\al 1 6)1• en,- "\)VL � v .. )\'L-6'frks q- \cx::l' °1)4'. ().,\W'nlN,U-1
-C-tna -
r-
Back: Right Side: Left Side: _
DElectric
Total Sq. Ft of Construction: _
Cost of Construction:$ � \ \ • Ii1
app y:
Shutters
D Generator
S� of First Floor:
Utilities: LJ Sewer D Septic
D Windows/Doors
DRoof
Building Height: _
City: C.
Zip Code.t 2Aci5 \ Fax: _
Phone No. _
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Todd Paroline
Company: Superior Fence and Rail
Address: 2778 N Harbor City Blvd #102
City: Melbourne State:�
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: _2_95_8_9 _
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMAJION:
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_mak�s 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
STATE OF FLORIDA 3'--:\ U() COUNTY OF ,ll_
Name of person making statement.
Sworn to (or affirmed) and subscribed before me of
� Physical Presence or Online Notarization
thisldayof �"",=r= '�-r ,o:B Yb PClv0hne1
MANGROVE
REVIEW
SEA TURTLE
REVIEW
VEGETATION
REVIEW
Name of person making statement.
Personally Known '££ OR Produced Identification _
Type of Identification
P duced ......,,..,,,..,._ _
Sworn to (or affirmed) and subscribed before me of
� Physical Pre�� Online Notarization
this--\- day of � r== , �y 1,0M :roili fY) t?av0\ lVLI I
PLANS
REVIEW
\C OR Produced Identification
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COUNTER REVIEW REVIEW
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev.