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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Fence Installation Address: Property Tax K Site Plan NamE Project Name: New Electrical Meter Second Electrical Meter CQNSTRUCTION 1'NF©F:MATI.ON rt "1a, m m3 ,f� s�i rt -,i .r r t '�' _ d 33 roa j' 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: Sq. Ft. of First Floor: Cost of Construction: $'iCt �50`,Co Utilities: —Sewer Septic Building Height: ffl• yAW111.1111111 Address: Vl Wk . City: Stater_ Zip Code: 15 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 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 CQNSTRU. TIQN LIEN LAW I°NFQRMATIQN: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone _ City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable 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 d posted on the jobsite before the first inspection. If you intend to obtain financing, consult with 19der r an attorn y before commencing work or record_'ng youwAoticpof Commencement. Sign ure of Owner/ essee/Contractor as Agent for Owner Signatu of Contractor/License Holder STATE OF FLORIDA �uI , COUNTY OF (�l0 STATE OF FLORIDA COUNTY OF ��(�C�� Sorn to (or affirmed) and subscribed before me of hysicl Preen or Online Notarization yzation this 2 dayof 26i6 b Z� S orn to (or affirmed) and subscribed before me of Physical Pre ce r Online Notariz�$yyp., this day of-�6z'g• by LOLI Todd M Paroline Todd M Paroline Name of person making statement. Name of person making statement. Personally Known _ OR Produced Identification Personally Known �c— OR Produced Identification Type of Identification Type of Identification roduced P duced ( gnat re of No tar u "" ate of rg�l BROOK Notaryc tate of Florida I• Q: o. commis n GG 312093 Commission No. _ '9�a��: y Comm.E3�i��kApr 5, 2023 Bonded through National Notary Assn. i n t re of Notary P NIE BROOKS o'AY au\, ': Not S rubk - State o`-lorida Commission No. ?;�• a Comm�'®akJOG 312093 9 °�. M Comm. Expires Apr 5, 2U23 of �, y Assn. hrou h National Notary REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev. --