HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
��
�J > ti Fr c 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
Address:
Property Tax ID #: 2— h�" 00(g J —DQV -(e Lot No. _
Site Plan Name: i hones Block No.
Project Name: ��,dy d ont-S
New Electrical Meter Second Electrical Meter
CONSTIkU.CT1 N INFORMATIONS
3 �
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: $
NameNI VVIn �>
Address:_ J ► ! _
City: ( State:
Zip Code: _1q 45 Fax:
Phone No.
E-Mail:
Generator
Sq. Ft. of First Floor:
Roof Pitch
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: 2178 N Harbor City Blvd #102
City: Melbourne State: FL
Zip Code: 32935 Fax: 321-638-0086
Phone No 921-636-2829
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 FIAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPL MtNTAL CONS RUCTION
LEI ,` AW;INF }RMATI IU
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DESIGNER/ENGINEER: Not ApplicableMORTGAGE
COMPANY: Not Applicable
Name:_
_
Name:
Address:
Address:
City: _ State:
_
City:
Zip: Phone_
_State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:_
Name:
Address:
Address:
City:_
_
City:
Zip: Phone:_
Zip: Phone:
OWNER/ CONTRACTOR AFFIIDVIT: 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: Yo failure to Record a Notice of Commencement may result in paying twice for
improvements
to, r property. A Notice of Commencement must be recorded in the public records of St.
Lucie Cou ty and os ed on t jobsite before the first inspection. f you i d'to obtain financing, consult
with _ at e..-y ore commencingwork or recordin ou Ice of Commencement. _
ature of caner Lessee/Contractor as Agent for Owner Siyfaq,4Wof Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF_ `J COUNTY OF
Sworn to (or affirmed) and subscribed before me of S onto (or affirmed) and subscribed before me of
Physical Pres e or Online Notari io Physical Prese Online Notariz�at;�•
ce or �n �
j
this day of _,93s'by%�/�1 this day of02� by wLl
Todd M Paroline Todd M Paroline
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known �D OR Produced Identification
Type of Identification Type of Identification
roduced Produced
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