HomeMy WebLinkAboutBuilding Permit Application (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: aa, a Permit.Number. o l a� f
a T 1\rl
t �id.ng Permit Applicati€
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia. Aven ue, Fort Pierce FL.34982
Phone: (772) 462.1S53 Fax: (772) 462-1578 -
Address: .
Property Tax fD #:
Site Plan Name: -
Project Name:
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit-check-ali that apply:
_Mechanical � Gas Tank Gas Piping ; Shutters � Windows/Doors Pond
Electric � Plumbing —Sprinklers Generator Roof Pitch'
Total Sq. Ft of Construction:, Sq. Ft. of First Floor:
Cost of Construction: $ ,; Utilities:: Sewer Septic Building Height:
Name Name: Todd MParoline
Address: �, _ � Company: Superior Fence and %il of Brevard County Inc
Cit y,. Wig_ _ State: ; Address: 27?8 N Fiarbctr City Blvd #102 j
-=i _
Zip Code: Fax: i City: Melbourne ` State; FL
Phone No. '' Zip Cede: 3 935 Fax: 321-638-0086
I
EWaik. Phone No 321-636-2829
Fall in fee simple Title Holder on next page { if different E-Mail spacecoasf@,superiorfe.nceand(aii.com
from the Owner listed above) State or County License 31337
Value of construction is 2SOO or more, a RECORDED Notice of Commencement is required;
value of NAVC is $7 500 or more, a RECORDED, Notice of Commencement is required'.
Name:
Address,
City.: 'State;
Zip: Phone
p,
MORTGAGE, COMPANY , Not Applicable
.... . .....
Name.
Addre'ss:
City: State:
Zip: = Phone-'
FEESIMPLE TITLE HOLDER. N6t,,Applicable BONDINO, COMPANY: NotAppliclabl.e;
Name: Narne:
Addreis77_ Address;
City: City:
Zip: Phone: Zip, Phone;
OWNER/ CONTRACTOR AFFIDVIT.: Application1s hereby made to obtain a permit to do . the work. andeinstallabon as indic6tdd.
I certify that7no: work or installation has commenced prior to the issuance of a permit.
St. Lucie Count Xmakes nor representation that is granting a permit will authorize the permit holder to build the .subject .structure
whichis,ncon ,twth any applicable Home Dwriers. Association rules, bylaws or and covenants that may. restrict or prohibit
structure. Please consult With our-Hm oe 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 611 respects, perform the,work
in, accordance with the approved Plans, the Florida BU,r Iding Codes and St. Lucie County Amendments;
The following building permit -applications are exempt from undergoing a full con cu rren cy.review.- room additions,
accessory structures,. swimming pools, fences, walls, signs, screen roomsand accessory uses -to another non-residential use
WARNING TO OWNER: Your failure to-Re;ord.a Notice of Commencement may "result in paying twice for
improvenjetAS-to your ft A. Notice of Commenceme94 mustberecorded in the public records of St
p oe y
Lucie Qou, y and poste on the'jobsite'before, the first in Vetioy., If yu intend to"obtain financing, consu" I
r ev r( r
with4&d2r or arilkto , ev before commencing work ZecOrd -vo:,r Wice of Commencement.
Sigria?CuFe 6f owner/
STATE OF CIt
COUNTY OF
as Agent for Owner
Srn to (or affirmed) -and subscribed befor�o:me of
_Rysical Presence or. Online Not 4'J26T
this, day of 2'9-2e
Todd M Paroline
Narneof r)O`Lson making statement,
Personally Known OR Produced Identification
'I'ype of Identification
(11turcAof Notary
Commission No.
of Flofida
112093
T 5, 1021
Signaye hf Contfactor/License: Holder
STATE'OF FLORID'Ai a
COUNTY OF--
Sworn to (or affirmed) and subscribed before me of.
Physical, . Presence. or Ohline.N ta=n
this day of�, -aQ49 b
Todd M Paroline,
Name of person making statement,
Personally Known OR Produced Identification
Type of. Identification
Pruced_.
(Sion it;_,+ Njtvry 1$Y t . 00 1
%
Notziry pubi
Commission No.
Ay, iomm. vire Apr5,2023
VEGETATION SEATURTT
OR �ILE MANGROVE
REVIEWS FRONT 'ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW, i REVIEW
. . . . . ......... . . ........ . __j
1 DATE
RECEIVEDr __4 ----------------------