HomeMy WebLinkAboutJRBrann Properties LLC Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
U `I
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34.982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence Installation
•..- �� ,ram (a to ►r
Block No.
New Electrical Meter Second Electrical Meter
Address:
City:i1
Zip •.- i /
Phone•
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Todd M Paroline
Companv: 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 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 CGNSTRU,CTI.ON .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: 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
improvement's to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County posted o he jobsite before the first inspection. If y ..ntend to obtain financing, consult
with le er r a torne efore commencing work or recordi o otic f Co mencement
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Signatu of wner/ Lessee/Contractor as Agent for Owner
_
Sign at tractor/Lic se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF —moo �J
�t' G
COUNTY OF 1�t
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
P sical Presen or Online Notari t�i¢q,
this � day of _ _, B by fJ
P sical Pres ce or Online Notari t' r�
this � day of-�9�-by
Todd M Paroline
ToddYI Paroline
Name of person making statement.
Name of person making statement.
Personally Known_'OR Produced Identification
Personally Known OR Produced Identification
Type of Identificatio
Type of Identificati n
roduced
roduced
( . o ark. .Ic Stat(57
c toe f Florida
(S nat re of Notary lr ? ti6tFfmPidD�ic s to of Florida
Notary
Commission GG 312093
Vornmission No. ' �� °-'-irp�emm, Expir(�sr)5, 2023
� o Commissio GG 312093
` of �R' My Comm. Apr 5, 2023
Commission No.
°F h National Notary Assn.
—+wed through Notary Assn.
Bondedthroug
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5760