HomeMy WebLinkAboutBUILDING PERMIT APPLICATION ....._ ..: :
All APPLICABLE INFO'MUST.BE COMPLETED';FOF PPLICATION TO:BE ACCEPTED y
Date:c� Perirrtit Number
��P 0.3 2021
", ` Wit.Lucie Coun
Y Building. Permit AppllIca,.ion PQrmr ng ty
Planning and Dveioprnent Senlces
.. ,
Building aria Code Regulation Division Colt' m. el'Gla� fZCS1d;Erlt a�
2300;.Virginiq Ave�iue fort Pierce,h'34982:
Phone:(772)46Z-1553 Fax (772°j 462-�1578
PERMIT APPLICAWN foR ,
G-4
j Fence (n8tallaffdh
TX "'A
Address ! '`
Property Tax ID#
Site Plan Name: R(
Block No.
Project Name:
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NeW;Electrical Nieter. "Second Electrical Meter .. .
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Additional work to be'perfor'metl `.under this permit check al!that apply:;
Mechanical .,Gas fah _,Gas Piping ,rShutters Windows/boors Pontl
Electric. _ Plurribin v Sprinklers: Genera
tar Roof Pitch
Total Sq Ft of Coristructiari: Sq.Ft:of H417,loor
Cost of Construction:$; °�` 40 .e'�d _. Utilities: ,N:Sewe,r. Septic Building Height
51 Pars`4 (t.
m - _
a
Name. _ j INarneJo
dd;tvi'Paroine
Address.. - Company Supe io County Inc r Eence and Rail of Brevard Co f
City: State Address 27 City-Bly 78 N Harbor d#f 02
210:Code: Fax Clty..Melboyrne. . . State:FL
j
Zip Code 32935.::�_ Fax:.321.63 70086
636-2829
E=Mai!' ,. Phone No321...�. _.
Frl!in fee simple Title Holder on next page:'(if different E-Mail spacecoast@superiorfenceandrail cgrri
fi.6ni the OWher listed."above} State:or County License 3,1"337
if value of construction is 2500+fir more,a RECORDED Notice of Cominencemer>t.is required.
If value of-HANG is$7,500"or mare,a;RE�oRDE�Notice:of..Commenceinent is:required
OESiGNER/ENGINEER. N"pplicable ftTGACE COMPANY.' Not Applicable
i
Name: J, l Natrt,e.
Address Address: .
City: State: "City: - State;
:
Zip: Phone . :._ Zips Phone: --
_.
FEE SIMPLE'TITLE HOLDER I .^Not Applicable" BONDING COMPANY. Not-A' cable pl
Name :. Name
Address, ( Address.
City: _ ? City:
Zip. Phone" �. Zip Phone
t3tNNERf"C{ NTRl CTOR"AFFIClVIT Application is here.y"made to obtain: permit:io do the work and instailation as'indicated.
1"certify"that no work or installation has:-commenced.prior to the issuance of a perrnit:,
St,Lucie Countyy snakes no representkion that is granting a permit will:authorize:the permit holder ta"build the subject structure
which is in.conflict with any applicable Home Owners Association rules;bylaws sir and.covenants that may restrict or prohibit such F
structure.Please corisult"with:your Home owners Association and review your deed for any restrictions which may apply.
In consideration t�f the:granting-of th s requested permit,I do hereb"y agree that.l;tntill,in all respects,perform the,work. -
in accordance with,the approved plans;the Flo6ida.l3ui1dirtg Cosies and"St.Lucie'co0rity Amendments:
The following building permit applica ions are exempt frorn undergoing a full concurrenry review:room additions,
accessory,structures;swimming pool,,fences,:walls,signs,screen roams and acee sort'uses to another non-residential use
WARNING TO 13WNER:Your failure to Reeped'a:Notice of Commncement may result in paying twice far'
improvements o your pro erty.,A Notice of Commencement must,be recorded in the public,records;of St.
Lucie C t posted o e jobsite before the:first inspection 1f y nt d;.ta obtain fibaricing, consult
W1 n orn :efore comrnericin "work or r_ecordi: .y" N co,16f commencement.
Stgne—bre oVOwney Lessee/Contractor as Agent for Owner S' -dre of IC tractor/License Holder
1
STATE OF FLORIDA STATE OF FLORIDA
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C0IfNTY_0 .. C4l1NTY
4""rn"to or affirmed)and subscrib tl before me of i w rn to{or.af.irmed)and subscribed.before me of
sicat Prw •once o online"Notari"a ti Physical Pres ee ar Online"Notarization
this da of y M ! thGs , day.of by
y
Todd M_P�oroline Todd Parolif"e
Name-of'person making,statementS � Name of..persi�n making statement.
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'Personaily Known O Produced identification Personall Known U Produced:hienitfication
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Type of fdentikatio�K ? Type of Iden4 ificatioti
Pr 'u ed; Produced
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE; MANGROVE
COUNTER RI�/lEW REVIEW REVIEW REVIEW� REVIEW FtEVlEtlrt"��
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GATE
RECEIVED.' __:.�
: DATE : :
COMPLETED _�.._.__ __:_...... ( .. .....;_
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