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HomeMy WebLinkAboutSun Grove Montesorri School Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: S�) LC1 GC 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 PERM IT APPLICATION FOR: Fence Installation Address: Property Tax ID?turx -RT - �Z_ -UZ_� - f Lot No. F Site Plan Name:�^ U,� A'kkawLmm� n Block No.Project Name: el,' W-Ai-e IV11111 CL',<"n0"1A r n hrn New Electrical Meter _ Second Electrical Meter Additional work to be performed under this permit - check all that apply: _Mechanical — Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: Generator Sq. Ft. of First Floor: Windows/Doors _ Roof Utilities: _ Sewer _ Septic Name �lRf l L'I I't2V'��(1l�{kC—'Thom,Vt nC• Address:�o 0r-(U0. 7W_t City: I`e 0,L) State: _FT_ Zip Code: Zat,�2__ Fax: Phone No... TTZ - LKf'+-'"j E-Mail: 01 (Jowl' (2Summ"mOfk1com •ppz Fill in fee simple Title Holder on next page ( if different from the Owner listed albove) Building Height: Pon Pitc 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. 777-7_ #. e SUPPLEMEIVTAIL,CONSTRUCTI©N LIEN AW _, ,ORM•ATIN DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Name: Address: — Address: - -- — City: State: Zip: Phone City: State: - -- Zip: Phone: FEE SIMPLE TITLEHOLDER: — Not Applicable BONDING COMPANY: Applicable Name: _Not 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 the Florida Building plans, 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 do your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult .-----wi.t. lender pr an attorney before commencing work Orrec�rdin ur Notice of Commencement. G G- 41 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDAIji STATE OF FLORIDA l COUNTY OF ICOUNTY OF l Sworn to (or affirmed) and subscribed before me of SW rn to (or affirmed) and subscribed before me of Physical PrerLce or-� Online Notariz dory Ph sical Pres e or Online Notarization this day of *&M by LI this day of , 29. by ZJrJ�1 Todd M Paroline Todd M Paroline _ Name of person making statement. Name of person making statement. Personally Known V_ OR Produced Identification Personally Known OR Produced Identification _4 _ Type of Identification Type of Identification roduced � Pro d &I i re o o • is te,fp�lapt(E KS (Si a e o Notar P ;ate a Mate of Fda'� i� s�'•., Notary Public • St of Florida ����• ;• Commission x GG 312093 ammission A• No. �' commission �2093 o, Y Comm. Expi es 5, 2023 Commission No. OF My MY Comm. Ex r�sd�pr 5, 2023 through Nato --oval Notary Assn, 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. 2 — - —