HomeMy WebLinkAboutBuilding Permit Application 7.22All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
LLJ�LL
Building Permit Application
Planning and Development Semites
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
Address: 1 611 V-tj 11Ut tL »► i t3Jl`1� w 1-t V cf/ I- L..1 yJ`T� rJ/- II II_ _
Property Tax ID #:,d " iL� Lot No 42, _
Site Plan Name:,/f�n.f ,Inn�Y�t ! h r _ Block No..�
Project Name: I�—� 1 l�e, U
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit -- check all that apply:
_Mechanical _ Gas Tank Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing Sprinklers __ Generator _ Roof Pitch
Total Sq. Ft of Construction: _ _
Cost of Construction: $ --4q_-q �
Sq. Ft. of First Floor:
Utilities: Sewer
Sewer _Septic
Building Height:
f OWNER/LESSEE: CONTRACTOR: J
21AtiT�l[I'
:r 1q / 1►;
F1O� Vi
• Code: • f1r
Phone•
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Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Todd M Paroline
Comoanv: Superior Fence and Rail of Brevard County Inc
Address: 2778 N Harbor City Blvd #102
City: Melbourne State: F'L
Zip Code: 32935 Fax: 321-638-0086
Phone No321-636-2829
E-Mail spacecoast@superiorfenceandraii.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.
LfSUPPLEMENTA:L.COX5TRION:LIEN LAW INF
RMATl 3IV
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 AFIFIDVIT: 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 Horne 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 the jobsite before the first inspectWi. If yo intend to obtain financing, consult
with lender or aD41torney befoWcommencin work or r rdip/g yojif No 'ce of C mencement.
V
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Signa r f Own r/ Lessee Contractor as Agent for Owner Signature of Contractor/License Holder _
STATE OF FLORIDA STATE OF FLORIDA
Il.��
COUNTY OF S�
�> _ COUNTY OF U,
SW n to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
%! ysical Presencepr Online Notarization Physical Presence or Online Notarization
this day of 2026 by �� this day of ` 2Q49--by 2J
, . -
Todd M Paro ine _ 'Todd M Paroline _
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
Produced_ Pr duced
(Sint o f Kota t e o f (Sin re f Notary r e f F i
otaryid:_•�;otary u �[) 5 toofF]2023
^�Commission
_Commission » GG 312093
No. ,. 3, ;' a= Commission a GG Apr5
Comm. Bge�I�Pr 5, 202. Commission No. oe` My Comm.�5c@iB��Apr 5,Bonded
through National Notary Assn. Bonded through NationalNotar
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE:.
COUNTER
REVIEW
REVIEW
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REVIEW
REVIEW
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