HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: Fence Installation
Property Tax ID #:
Site Plan Name: `
Project Name:
New Electrical Meter Second Electrical Meter
Residential
-
Lot No. IL/
Block No. L9__
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters — Windows/Doors Pond
_ Electric _ Plumbing —Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
E-Mail:
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: .-Sewer --Septic Building Height:
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@a superiorfenceandrail.corri
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 iNFORi1JlATiON
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:
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installlation 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 the Florida Building
plans, 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 Coun and pos d on the jobsite before the first inspecti . If you intend to obtain financing, consult
with I d
or an at ney before commencing work or re our Notice of Commencement.
Sig ture of Owner/ essee/Contractor as Agent for Owner
ature of Contractor/License Holder
STATE OF FLORIDA ���
COUNTY OF
STATE OF FLORIDA
COUNTY 7-
OF— _
Sworn to (or affirmed) and subscribed before me of
XZPysical
Sworn to (or affirmed) and subscribed before me of
Pres nce or Online Notariz io
of z6-4;, by (
Y Physical Pres ce or Online Notarizatithisday on
this �� day of —2626-by �vL
Todd M Paroline
Todd M Paroline
Name of person making statement.
Name of person making statement.
Personally Known _ OR Produced Identification _
Personally Known 7- OR Produced Identification
Type of Identification
_
Type of Identification
PrQdL ced
Produced
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REVIEWS ONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
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DATE
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COMPLETED
Rev.