HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1400
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
La NO"` £ L tv 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 IC
Site Plan Name
Project Name:
Additional work to be performed under this permit— check all that apply:
MechanicalI
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction: /Q� //'�� �j
Cost of Construction: $ k "6 YJ� , q I
Name lIlr/%ill._
Address'W1��1
city:f1: .' VOL,
•Code:• •
E-Mail:
Gas Piping
Sprinklers
_ Shutters _ Windows/Doors _ Pond
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@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 CONSTRUCTION LIEN LAW INF614MATIOW
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
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie C unty d posted on the jobsite before the first inspection. If ou intend to obtain financing, consult
with der r an ttorne before commencingwork or rec I Notice of ommencement.
Signature f wner/ Lessee/Contractor as Agent for Owner
Sign r o ontrac or License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �WW,,W
1I� ° �p
COUNTY OF �" �1J11
Sworn to (or affirmed) and subscribed before me of
orn to (or affirmed) and subscribed before me of
u Physical Pres nc or Online Notariz
this day of M-26 by �
xx P ysical Pre re o _ nline Notarization
this day of -2020, by 2D2A
Todd M Paroline
Todd Paroline
Name of person making statement.
Name of person making statement.
Personally Known V OR Produced Identification _
Personally Known OR Produced Identification
Type of Identificatio
Type of Identificatiofi
roduced
Produced _
OJILke-of Nota P"X.ald .;State F� '
Notar ublu - t to of Florida
312093
(Si t f Notar ol:,�tat No e 6Tb biitg of Florida
=(. ic
Commission GG
Commission No. :9 ` F r 5, 2023
Comm. E(I�P
�:r "; Commiss G 312093
Commission No. �Fy�F, Comm. E Rc� pr 5, 2023
F
Bonded through National Notary Assn,
y
Bonded through National Notary Assn•
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20