HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR AI3PLICATION TO BE ACCEPTED
Date: Permit Number:
LAI,
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
P"MIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION: I _
Addres,: 2-I� 1y\Q(C.�c'�L Q.A �' I�( hA ,�� 1 L �bqq 5 Z. ---
Property Tax ID#: Z -te -" 7 V / J''"1"'� T-We _ _— Lot No.
Site Plan Name: 1 C) I _ Block No.
Project Name: ------
DETAILED DESCRIPTION OF WORK:
=?_nr_e UvC-I-f l 1--4, Oc4e
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Nlechanical _Gas Tank —Gas Piping —Shutters _Windows/Doors Pond
—Electric _ Plumbing —Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: I,, — Sq. Ft. of First Floor:
Cost of Construction: $ 4-2 J Lp . oo Utilities: —Sewer —Septic Building Height: __—
OWNER/LESSEE: CONTRACTOR:
Name_ ffic I Name:Todd M Paroline
Address: �. maaencwvTvCompany: Superior Fence and Rail of Brevard County Inc
City- Or Stater Address:2778 N Harbor City Blvd #102
Zip Code: Fax: City: Melbourne State: FL.
Phone No. — Zip Code: 32935 Fax: 321-638-0086
E-Mail: Phone No 321-636-2829
Fill in fee simple Title Holder on next page ( if different E-Mail sPacecoast@SLJperiorfenceandrail.com
superiorfenceandrail.com
from the Owner listed above) 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.
StJ'PF'LE11/I NTAL CONSTRUCTION LIEN LAIN IN bWATION:
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
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 on the4jobsite before the first inspection. If ou intend to obtain financing, consult
with len or attorne b re commencingwork or re in No ice of mmencement.
Signatu caner/Lessee/Contractor as Agent for Owner Sig re of Contra or/License Holder
STATE COUNTOY OFORIDA ` 1 1 � e n ) STATE OF FLORIDA I
� p ' a�
LJJII�UC/ COUNTY OF l�1/K:
S n to(or affirmed)and subscribed before me of S rn to(or affirmed) and subscribed before me of
)ysical Pres n or Online Notarization P ysical Pres e or Online Notar1i'��'
this day of Z020'bylCM this day of 2eM by�v
- -Toli PAJVOI t IE'er Tom, IM ,P)
Name of person making statement. Name of person making statement.
Personally Known�( OR Produced Identification_ Personally Known OR Produced Identification
Type of Identification Type of Identification
Pro ced Pro uced
�f(sign otary P ` , `, a 4G @•5fe7FIorid, (Si t re f Notar R ,.� N91(Qd a of Florida
Commission# 312093 i S Commission k 312093
'�oFF My Comm sApr 5,2023 oaF` My Comm.Expjr�e > 5,2023
Commission No. Commission No. bbllii
30 d through National Notary Assn. hrough Nati ary Assn.
Pq
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED _
DATE
COMPLETED
Rev. 5/6