HomeMy WebLinkAboutApplication - Samantha WarrenAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number:---------
Planning and Development Services
Bwlding and Code Regulation tnviuon Commercia I ----- 2300 Virgm,a Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence Installation
Residential _'ff--'--- _
Building Permit Application
Property Tax ID n,::j������������t:�:=�========� Site Plan Name:�
Project Name:
New Electrical Meter Second Electrical Meter _
Lot No. 2.:;rQ
Block No. _
I CQ.NSTRUCTION INFORMATION: - i&& "
Additional work to be performed under this permit- check all that apply:
Mechanical
Electnc
Gas Tank
_Plumbing
_ Gas Piping
_ Sprinklers
Shutters
Generator
Windows/Doors
Roof
Pond
____ Pitch
Total Sq. Ft of Construction:--------
Cost of Construction: $ _,\u\OJUl'.O
.>..L_ _
Sq. Ft. of First Floor:-----------
Utilities: _ Sewer _ Septic
CONTRACTOR:
Building Height: _
Name Name: Todd M Paroline
Address: Company: Superior Fence and Rail of Brevard County Inc
City: _ _j::IJ�;,:�II;t::le&�_::�-- State:� Address· 2778 N Harbor City Blvd #102
Zip Code: --'-.l'c:r::.,t::J"'=[_' City: Melbourne State:�
Phone No.________________ Zip Code: _3_2_9_35 Fax: 321-638-0086
E-Mail::_---------------- Phone No 321-636-2829
Fill in fee simple Title Holder on next page ( if different E-Mail spacecoast@superiorlenceandra1l.com
State or County L1cense,;':c'.:'.:''--'----------
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.
from the Owner listed above)
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 AFFIDVIT: Apphcat1on is hereby made to obtam 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 rs m conflict with any applicable Home Owners Assoc,ation rules, bylaws or and covenants that may restnct or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restncttons 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
m accordance with the approved plans, the Flonda 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 ti post on the jobsite before the first inspection. If you intend to obtain financing, consult
with le r att e before commencin work or re ·n u Notice of mencement.
STATE OF FLORIDA �L I ' ''. � � COUNTY OF ��-�\..M.=�L,U<...,'��----
S t (or affirmed) and subscribed before me of
sical PreseQce or __ OnHne Notam,At�(
day of UlA'-'j . ..,..,_by /.UL.
-"f"odd \:'\ ffikQ\.,Lr:\Q__,
Name of person making statement.
Personally Known 'tJ OR Produced Identification
Type of Identification
Pr uced --;a,----
STATE OF FLORIDA 0i. \ , , t, 0 , COUNTYOF _,_���\....\A
��.._,..._.,=�--
��rn to (or affirmed) and subscnbed before me of
)(.. Physical Presen�e O[ __ Online Notamation
�day of ,JIA�'l . ..o>e by 1.D'l-1
:Ta;:ld. \v'\ '.\>OY)\..,u'le)
Name of person making statement.
Personally Known )(..
Type of Identification
Produced'---------,"'S"--
-"-1
OR Produced rdcntrt.canoo _
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev.
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
r.1.1..1:. ff 'oc,::,1::1..:,c,u
$101. so U.K t:IUVl'I. 'oO::>.,:,
Quitclaim Deed
Assessor's Property Tax PartcVAccount Number(s):
' Abaw ·� ru,.-,'fdfar /1.uordlng
(ltrc.q,:tlnd by,..,.., jurlsd!CllQn, �st....,_., lh< """'°
& ld�r=cf; I)..,.� toro(w,, lhil ronn, l)p�ua:
3)p"'1)' '°'l� .. tt�g rcoording.)
THIS QUITCLAtM DEED, executed this ...d..._,;..;J,r.,_ __ d11y of ) U ht by first party, Granter, }?h�) !,'s W, J..fiJ/
mailing address is
'-H\
\1/JTNESSETH that the said first party, for good coosideration Md for the sum of JO, rJc}
Dollars (S / () , � paid by the said second party, the receipt whereof is hereby
acluiowledged, dots hereby remlse; release and qulte!aim unto the said second party forever, all
the right, title, interest and claim, which the said first party has i.n and lo the fo!!owt:� descrfbed parcel of land, and improvements and appurtenances thereto in the County of S, l u/ te ,
State of Acw,iclc. . to wit: •
Legal Description
SHEAATO� rt Al.A·l!NIT FOUR R.EPL;iT LOT 270 IOR 266-2:U1 !01 S-1712 I0-11,2009, lOIO. 201 I, :10 11, 20lJ, 2014 ,\1'/0 2015)
�lo(l
IN WITNESS WHEREOF, the said first party has signed and sealed these presents the day and
yo� fi�t w,;ue, ebove. s;gn«l, sealed and dell""";, t� ,�so�ce of, (;
E'.J\7!<'.o.'.Doo�g, -=....L�-==--
s!Pfl"�orwi�� �natureof;Wltne?. A .Ln'.I k'.A �ell'\ O'h,:, _l!r-.d,,dlf:-
Print Na'.me of Witness Print Name of Witness "
Signature of'Grarrtor
Print Nam'e ofGrantot
before me, - 1)eaunet")
personally known to me (or proved
to me on the b£1.Sis of satisfactory ev ence) to be the per.ion(s) whose name(.!) ls/are subscribed
to the within instrument and acknowledged to me that Itel she/they exec:uted the same in
hi!ll1ierftheir authorized capacity(ies), and that by hislhcrltbelr slgnature(s) on the instrument the
person(s), or the entity upon behatf of which the person(s) acted, executed the instrument.
Affiant
1)l)toflD
hplon