HomeMy WebLinkAboutBuiilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�7!Ji"'
L- t;' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial _ Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence Installation
_PROPOSED IMPROVEMENT LOCATION:
Address: tl Y 1 -- e -----
Property Tax I D #: l 2b (� y, Lot No.
Site Plan Name:�t%1(1' �Z.�L'lrnyoi) Block No.
Project Name: ai6C._T-Iiffi_— — - ----
DETAILED DESCRIPTION OF WORK:
—
1 O\ i /T�b1l;
New Electrical Meter --Second Electrical Meter
CONSTRUCTIO�Nl ORMATION:
Additional work to be performed under this permit - check all that apply:
Mechanical _ Gas Tank _ Gas Piping Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction((:
Cost of Construction: $ 49- ., w
Windows/Doors _ Pond
Sq. Ft. of First Floor: _
Utilities: —Sewer __Septic
Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name jft�l C
Name: Todd M Paroline
Address: Oo Vj ft TtV
Company: Superior Fence and Rail of Brevard County Inc
G
City: ' "f I.K. State: Fj-
Zip Code Fax:
Phone No.
Address: 2778 N Harbor City Blvd #102
City: Melbourne State: FL
Zip Code: 32935 Fax: 321-638-0086
Phone No 321-636-2829
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail spacecoast@superiorfenceandrail.com _
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
Name:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: Not Applicable
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
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements t your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Co y a d osted on the jobsite before the first inspection. If you intend to obtain financing, consult
with Je6Ver Van/altorneVbefore commencing work or record' our No 'c of Commencement.
Signatu of Own / Lessee/Contractor as Agent for Owner
Sign re of Contractor/License Holder
STATE OF FLORIDA r , n
STATE OF FLORIDA
COUNTY OF
COUNTY OF �,U e_)
Sworn to (or affirmed) and subscribed before me of
i G Physical Presence or Online Notarizations
this � day of _(}b4y
-- 21
P
S orn to (or affirmed) and subscribed before me of
P ysical Prese ce or Online Notarization
this � day of -2e-by
�GO21
I�4JMLLy7v2
rson making stateme
Name of person making statement.
Personally Known _y- OR Produced Identification
Type of Identification
Personally Known _ OR Produced Identification
Type of Identification
P oduced
Produced
(Sign t e o Notar P !" q4?
y }{� _ 'fie of FI6Ti I)E BROOKS
?, �„ �; Notary Public State of Florida
:; o; Commis;;ipn, G 312093
Commission No. '� My comm.lEZ� 5, 2023
Bonded through National Notary Assn,
( ig aturq of Notary Pu or ANTE BROOKS
/4�4�°r`•, Notary Public State of Fiorica
Commission No. : Con # GG 312093
My Comm xpiresApr 5. 2G23
Banded through National Notary Assn.
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.