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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: L I U (5',DC ,I U Building Permit Application Planning and Development Services \' Building and Code Regulation Division Commercial Residential 2c 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Fence Installation Address: Property Tax I D #: 1512 Site Plan Name:[] q Project Name: QA11�1Q�1�1�� .i New Electrical Meter Second Electrical Meter i .w CONSTRUCTION INFORMATION ; 777 . Lot No.�_ Block No. 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: 1 Cost of Construction: $ �2A _ `� Name Sq. Ft. of First Floor: Utilities: __ Sewer __ Septic Building Height: City: Q IlIt V I v -Stated Zip Code: Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Todd M Paroline Company: Superior Fence and Rail of Brevard County Inc Address: 2778 N Harbor City Blvd #102 City: Melbourne State: FL Zip Code: 32935 Fax: 321-638-0086 Phone No321-636-2829 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. SURPLEMEl TAL'CgNSTRUCfiI©N LIEN LAW INrQaM4,,,TyN .. 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: Applicable Name: _Not 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 improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and p, ted n the jobsite before the first inspection. f yo int nd to obtain financing, consult with len r a torn befor commencin work or re -d ' r o ' eof Commencement v� Sign uFe of Owner/ Lessee/Co ractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF � 1 COUNTY OF 1�U Sw rn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of P,�•iysical Pres ce Online Notari�tLo� this �L day of �6-20 by-G(JLI � hysical Pres nce or Online Notariz t- � , this day of ,,,2g� by Todd M Paroline Todd M Paroline Name of person making statement. Name of person making statement. Personally Kno OR Produced Identification Personally Known )( OR Produced Identification Type ofwrY 'c Ideatio _ Type of Identification ed Q Produced #�a of Notary P NiE (Si to of Notga P Q I of Florida ,��• u - W3' o`i Commission 12093 Commission No.ovMomm. Ex$eetr 5, 2023 �pCommission � ub�ic . Sa No.Comrr�$L�JBonded LG through National Notary Assn.MyComm.P,f shoughNatio REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIO SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE -- RECEIVED DATE COMPLETED ev.