HomeMy WebLinkAboutBuilding Permit Application 7.22)
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
r� LL�CC
P1'� �U'L tu "r:1 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
Address: I (
Property Tax IC
Site Plan NamE
Project Name:
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit -- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing Sprinklers e Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 72' i (zq
Windows/Doors _ Pond
Sq. Ft. of First Floor: _
Utilities: _ Sewer _ Septic
'•• M /.%�� •,ice
City: State:'EL
• ••-
Phone
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Roof Pitch
Building Height:
Name: Todd M Paroline
Company: Superior Fence and Rail of Brevard County Inc
Address: 2778 N Harbor City Blvd #102
City: Melbourne State: FL T
Zip Code: 32935 Fax: 321-638-0086 _
Phone No 321-636-2829
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:
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:_ 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
improve nts to your *operty. A Notice of Commencement ust be recorded in the public records of St.
Luci "
Co ty and post on the jobsite before the first in ec• on. If you tend to obtain financinig, consult
wi le or n atto ey before commencing work o o i our otce gf Commencement.
Sign Owner Les e/Contractor as Agent for Owner
ure o ontractor/License Holder
STATE OF FLORIDA
STATE Of= FLORIDA (��
�Q� —
COUNTY OF �1L(ile/
COUNTY OF L�� �� --
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
ysical Presen e __Online Notarization
this � day `��-�
P ysical Prese ce or Online Notarizlon� ' t
of XM by
this day of ztiN2G-by !-02-4
moo
Name of person mak�in%g statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
.
Type of IdentificaticA
Produced
wn4an
(tihrurlrof Notary Public State of Florida
duced_
i f Not S
g yi : a `. tarQ' AWR e F I rida
�
h`
Commission ; GG 3 3
Commission No. ""r"n' - ►.m�,�-:
Commission No. 'For�9 ' My Comm. Expirfg@WI�, 2023
ST HAN BROOKS ?.,
Notary Public - State of F;oric.;
Bonde trough National Notary Assn.
REVIEWS
FR Bo'
My Comm. Expires
dF�Q NOtISNatio
A^r c
i5A R
�I
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTE
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
_
COMPLETED
ev. 5/6/20
MICHELLE R. MIL:LER, CLERK OF THE Cl2CUIT COURT -- ;SAINT LUCIE COUNTY
FILE 4 4897052 OR BOOK 4551 PAGE 1888, Re!corded 07/20/2021 03:25:05 1PM
NOTICE OF CCINW&N(,,TMVgT
STATE OF —Florida
COUNTY OF. St Lucie _ Parcel ID: 3403-502-0284-000-1
TIE UNDERSIGNED hereby gives, notice that improvement will be made to certain reel property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commmerwame"u 1006 Saeger Ave
1. Description ofproperty: (legal description of property, and street address if available) Fort Pierce, FL 34982
WHITE CITY S/D 09 36 40 E 107.23FT OF W �_18.38 FT OF' N 105 FT OFS 130 FT OF LOT 223
2. General description of improveme ot: Install 1W of 6' PVC fence with 2 5 gates. _
3. Owner information: --
a. Name and address: R'ybe1 Smith; 1006 Saeger Ave Fort Pierce, R_ 349&2
lb. Phone number: -- _
c. Name and address of fee siimple titleholder (if other than ow ner): _
4. Contractor: ---- ----
a. Name and addreia: Supr,rlor Fancy and Rail of Elrevord County, Inc. 2T78 N Harbor City Blvd, Ste 102, Melbourne, FL. 3293:1
b. Phone number: 3214636-29129 --
s. Surety: — ---- - —
a. Name; and address: Aa
b. Amotmt of bond $M_-
6. Lender.
c. Phone number:
a. Name and address:
i>. Phone; number:--
7. Persons with the State of Florida, designated by Owner upon whan notices or other documents may be served as provided by Section 713.13(1)(a)7,
Florida Stattuea:
a. Name and address: An
b. Phone: number: ivi1--
8. In addition to hiniwit Owner designaks tire: following pesson(s)1 o receive a copy of the :Lie lwe s Notice as provided in Section 713.1311)(b),
Florida Stadrtes:
a. Name and address: tl t _
b. Phone number: Nei --
9. Fxpitation date of notice of COmmenoame nt (the expiration date is one (1) year from the (late of "recording unless a different date is specified) _--
WARNING TO OWNER: ANY PAYMENTS MADE BY THEW O)VNER AFTER THE EXPIRATION OF THE NOTICE OF COMM ENCEIWIENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER. 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT
IN YOUR PAYING TWICE FOR RdPROVEMENTS TO YOUR PROPERTY. A NOTICE: OF COMMENCEMENT MUST BE RECORDED, AM
POSTER) ON TIIE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH :i' )UR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORI{ C ING YOUR NOTICE OF COMMENCEMENT.
tl� ( < _�-
Signature off' Ownd or Owner's Audw—dz d Office r/Direcwr/Part wmaoager --
Signatory's Title/()Mce _OW
The foregoing instrument was acknowbAged before me this 3f-'1' day of ��C� I by
Robert SM th _ (name ofpe rson) as owner (type of atrtltori
officer, trustee:, attorney in fact) for ^ ,e — tyt ..
�--- 7-�•�uatnof party on behalf of whom instntmatt was executed).
Dustin C. Bewrd
NNOTARY PUBLIC
STATE OF FLOFUDA
Comrnt Ga?59194
. Exob'n 9/17I2022
Signaltuc of Notary Public - 3labe oiTlorida —
Print, type;, of stamp coin aissiorwd name of Notary Public
PemuUi r Known OR ] e deartifiCation _
Type of identification pro,luced
5'erification "u-'m 11L Scarier 92M. FloricUtMta
Under penalties of perjury, I declare that I have rratd the foregoing apd.t 0 the- film sLstated in it are.lrue to the best of my knowledge and belief.
person signing above --