HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPL`ET66 FOR APPLICATION TO BE ACCEPTED
Date: %/Permit.Number I
r
1 ANr4.LE
'I P rmt• A hicat a
t Bui ding :pp
Planning and bevelopmentServices ,
Bwldirig"and Code-Regulation Division ' ; . Colrime_r(7121 fR@Sldentlal "I4
2300 Virg,n�a Avenue,Fort Pierce.FL 349''92
Phone:-(772)'462-1553 Fax: (772).4524578 i
PERMIT APP,LICATIOKFOR
Fence In`staliat on _
.�Y trt x• �..• G'-_cn'vf.myr .ANY �r-rpna mac• �,. 1, .r+�-P #"�, �*.� "�.�"r< ''-'" 'C a 'C "t' f4� x ..•,� y-
OP®� ® , ° P0,1/:EIfENO ®!I\I
s A4J.'�d _ '". -A 'K+. h k •T.i � M,
address: yyY ={ '
Property Tax ID#: ,J"TtJ2.'"'UGi��.)_ 1J�.1 Y'S_ .t��'�T '{ •Lot Noa�_�� .
Site Plan Name- Block No,
Project=Name I_:�[.1(1h �`,C1�dlan I I
. y. - r.... F a`., f r hJ�. .i:•3.rr' "t k,;. �.,t, a. p,.'x U a r .,,,• 7*
s".E:'T I•LE Y�9 E ! h? „
I sSR'P�arTIflN ®E ® qK� u� z M
c3s`•* tea``p'S,C "-1-, .#{y4.'t, , .:t> 33`, L?` a 4 4 _ ? v ro.ay ..SKs -s •i� ra.i�.
,
New Electrical Meter T Second;Electrlcal Meter
`,> r7.'-S"'C4 �4 ��"Y; .�-- �'" ..'any F`" '�:'�" y�?F'v, $ ;itr f" ti�,��N•,t�� `� §"__`F ,n• x �C<. Tyry -5 y,. r �w ^,d's
..� �'. �f Y � 3'�`� a` Y 3fi'cr1• n'^.'K: ��7C "F ,"�r-„ e `�' ,� t
`C I�S�TR+uC�TIOI��I`NF� 4�IA�TI �, ,<� ��. �... �xt: s��•� � �, y��::� �:
f"".,�� ..,.,.c��,s�.,i,..±wv �a.-sue::- 'ra,�_��ft'�'s-Q�..�a''C., '�` ir.� ��"?.�„' �C�' � '��+� x �r„'*z�,�n � '�i` �� •. � �''r. `':�` '
- Additional workao be performed under;this�permit�-•checlt all thatapply: f �- �; ," ' • ,t
Mechanical,[ Gas Tank asPipng _Shutters _Windows/Doors 3 on
Electric i _Pluritb in' Sprinklers ; `Generator ? _Roof'' ' Fitch
i I r
Total Sq:.Ft'of Construction: Sq. Ft. ofi FirStFloor I I'
I
-Cast'of Construction:.$. V tLa t '1! `Utilities: _Seaver Septic B:wilding Height
x a
Name N
Todd M Paroline
ame: !
J�ddress: . J� 1 �, 3 .. ;. 1;Company:Superior•Fence.$nd Flail of Brevard County Inca
City. . L State:_ Address:2 1 b 778 N Har or-City Blvd#102 {
Zip Code: L. Fax Clty: Melbourne State:FL '
p ! 11 I 5 i
Phone-No.. 1
1r �n� L Zip Code �3293 ' 321 63 0086
E--Mail w- 1 r (�� 51 __ i Phone''(Vo.321 636 2829y'. r, sr
a e
Fill in fee simpl®Title Holder-on next page-(�f different E-Mail spacecoast@"superiorfenc andrallcom
from thetOwner listed above) j 'State or County License 31337 ?� [
If value of consfruction is'2500.or more,a RECORDED Notice-of,Commencemenf is required '
If-value of HAVC.is.$7,500 or-more;a RECORDED=Notice'of Commencement isYequired
,I i I
R
i • Si 1
r
114LE I. 'NSR;U:C aN ' LA' 1'N _ MA i
PE-$ MR/ENGINEERT,,`NotA,Olica Lik7 ,,
p , . ., MORT-
GAJGE';COMF ANY No
F,Vaire Name',
Address Ctdr s
i5tae f Aa=S7�pt ate.
te.CittY.
Z blke t, fI�iit`t' t
-Ph k• �I Ztp P:h'one t s
FEE SIMPLE TITLE HOLDERr i,;Not`sAppllcable BONDING COMPANY i Not Applicable 4 i -
f Name.
` �� -Name:
Address_
Address
Cit•
Y: .I. city i K
Zip: Phone : 1 Zip i i 1
h i
w_.
Pone
OWNER' CONTRACTOR'AFFIDVIT.A 'licatfonas heteb made to obtain a ermit;to do.the work and installation as.mdicated,is
,i,PP Y P_
I,certify that noiwork or installation.has commenced prior to the iSSuance.of a permit jr
St.-Lucie Countyy makes no representation that is"granting•6 perm,lt,will authorize.th-e permit holder,•tp1buil'd.the subject structure,
which is:iii-conftict with.ariy applicable Home Owners`Association rules, bylaws or;and covenants:that may-restrict or prohibit such.,
structure..Please consultwith your.Home Owners Association and.review your deed for any restrictions which may a`ppiy'. J
it
i Ah consideration of the granting of this requested permit,I clgher 'by agree that I:will,i,n`all respects,perform the`<wo[k
in accordance with'the.approved plans,th'e Floridb'kbilding Codes and'St.Lucie County.Amendmer9ts.,4
1'-• n , „ ,
The following build�[ng permif applicationslare,ex&hpt from undergoing a'full concurrencj�yreviewrroom additions; ri
accessory structures;swimming'pools,fences,iwalls,signs;screen-ooms and accessory uses to anpther non cesitleittial use
WARNING T0.OWNER Your fatlureto Record a Notice of Commencement may resultin paying twtceifor
improvemenfs-to your property. A4Notice of Comrri'`ncement.rriuA be".recorded it afire public records of St
Lucie Count and.posted_ n theJobsiCe before the frst'inspectio; If,you intend to obtain-ftnancing, carisult i
WJth iJk o an torn beforre cominer cin word or red rdi�' ur,Notice of Gornmencement
' I 1
S,ignatu of Owner./Lessee/Contractor as A'ent for Owner Si nature of Contracto 4
;,. . g j'_ g. r/License Holder .t` {
.
STATE OF FLORIDA , `'
r STATE OF FLORIDA F,
COUNTY OF COUNTY OF: .
71Z
nto;(or affirmed)and subscribedbefor me of i Sworn to(or affirmed)and subscribed before meof
sical Wes a or online Notarization hysical Prese ce or Online Notarization: t
s f "the day,o r Eby this day:of ( t,4
i
TOM M.Paroling t _Todd M ParoUne ,
Dame of'persor making statement js Name of person making statement. l
Personally Known _-X-- .OR Produced Ide`ntifyation Personally Known_OR.Produced Identification,_'
Type of ldentiftcation Type of.Identification
Pr ed Produced
, a t
_ � 1 • I i�l
r
g t„F 57EPHAN nri ;: �f i a KS 9 I
( n eofN vy
Comm s N°tary Public ;State Ot Ftortdi a° . Notary PubG State;oV pHda+ `` I-' I
Sfnn"GG3t2443'fS I)I. )Commission No '� Cofim�uia+aG�Babp3 s { }
� .tAytomm Expires Apr 5,24 3 ,; of a My.Cflmm Expires-Apr.S,Z423 1'
f
ed ou h Nanonat Notary Assn II i' Bonded thtou "National Nota Asirt.=
Ir`
REVIEWS
" 771
': , 1 RONT ZONING SUPERVISOR SPLAN5 VEGETATION SEA;TURTLE IMANGM0 ilEia
•COUNTER, REVIEW REVIEW IREVLEVI% REVIEW REVIEW REVIEW
i
� . d r�
DATE
'COMP.LETED
1 '
i
4
I
,., 1 .. _,n - aril � --- -F i _ _ ,r�. ,_ __• ` �} r .� r,� t.�.: ..