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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE'COMPLETED FOR APPLICATION TO BE ACCEPTED bate: Perrn:it Number: O LZ-7 < JI :'LL CC Building Permit Application Planning one►.Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia.Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 PERMITAPPLICATION FOR: Fence Installation PftILiSED ldOUEM&E11Tl.00ATf �! z j Address: � b 6 lbw rl Ift .Z � t nt Property Tax ID##: J. �Z"; 4G it -- Lot No.� _ _ Site Plan Name: . Block No. .Project Name: �. I � . DE A LEC► QE CRIPTION O 1ldORf<' Lf t{ 4 or New Electrical Meter Second Electrical Meter C( MTf �.ICTfUf�fNFORMATlONs g — } W Additional work to.be performed under this permit—check all that apply: —Mechanical _Gas,Tank Gas Piping. _Shutters _Windows/Doors Pori,d Electric _Plumbing —Sprinklers Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First.Floor: Cost:of Construction: $_15 ' TM00 Utilities:: Y Sewer Septic Building Height: OtflERf1 E�SEEF za CONTRATfJR Natne;1' i Name:Todd M Paroline Address: :Company:Superior Fence and.Rail of.Brevard County lnc _ City State Address:2778 N Harbor City Blvd#102 i : {{(,l!fy :' Zip Code: Fax: City: Melbourne State: FL Phone No. Zip Code: 32935 Fax: 32 638-0086 E-Mail: Phone No321-636-2829 Fill In fee simple Title Holder on next page if different E-Mail spacecoast@superiorfenceandrail.eom fr©rn 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 it required I 'SUPPIEIViENTAUCaNSTRUCTIQN "WIN lNFt�RMATI®N, k y pp MORTGAGE.COMPANY: _ Not Applicable DESIGNER/ENGINEER: `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: i Zip: Phone: -OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie in' 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 t Jobsite'before the first inspection. If you intend to obtain financing, consult with lender or agoattorney Wore com'menang work or recording r N tice of . mmencement. 70 Signature of OwrienJ.Lessee Contractor as Agent"for Owner Signature of Contractor/License Holder + STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S-� ucJ COUNTY OF ` i Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of Physical Preserice or Online Notari tion Ph sical Presence or Online Notariz io i this day of &by this day of 2 y Z �. Name of person making statement. Name of person making statement. i Personally Known OR Produced Identification Personally Known V OR Produced Identification _ - Type of IdemificatibA Type of Identification Produced Prod ed A� ito (Si at Not ry P licj;i$V t o Floes" E BRflflKs (Sig t re � ; i�4taCf PubEr State of r`#krtda STEPHANIE OR06YES a Cam��s ii�} GG 312C3 r's. Notary PUbiiC State of Co ission No. h4yc@mhrXlcesAarg 2c�3 Commission , i ti�ton GG s't # 1 Bonded through Nationat NOtart A$sn, o� My Comm.Expires kpr 93 _ _.. __ noc=aed 2023 REVIEWS FRONT ZONING SUPERVISOR, PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE I RECEIVED DATE i COMPLETED __-__ . ._. ev, — _.