HomeMy WebLinkAboutWilliam Rueter permit applicationA APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPT(p
Date. 8/31/2021 pittdbee
Building Permit Application
Planing an Development Services
Butting ad Code Regulation Division
2300 gi0io erue, Font Pierce Ft 3498.2
Phone (772) 462 1553 Fae (772 462 1578
Commercial Residential _
~
PERMIT APPLICATION FOR: pence Installation
� ----- -� PROPOSED IMPROVEMENT LOCATION: t
Adress 5ooaroovs"
Property Tax1b 1301-613-0376-000.5
Site Plan Nam LAKEWOOD PARK
Project Nam William Rueter
,, .. - . -------- ow" loo.1%
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. I
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N
• • • • j
Second Electrical eter New Electrical Meter
Additional wor« to be performed under this permit check all that apply
Gas Piping Shutters .Widows/Doors - Pond
Sprinklers Generator Roof itch
Sq ft. of fleet Floor
Utilities Sewer Septic Building Height.
• CONTRACTOR: ' , . •
Non lo6pol
Compau Superior Fence and FRail of Brevard County lee . state fL Addreg4 pr78 Harbor Cit B4 #102 - ·- Cit Melbourne sate.fl_
hip Cose. 32935 F% 321.638-0086 .
Phone N 321-636-2829 --
Gas Tank
Plumbing
_Mechanical
Electric
OWNER/LESSEE: ->U • Na William Rueter
Adress.5609 Karney Ave
ca. For Pierce
7code. 3248$1 r
Phone N 72-448.4688
E-Mat.wMrdatabase? 10@outlook.com
il i fee simple Title Holder on next page (if different
from the Owner listed above)
£4Mail spa¢coast@superiorlenceandrail.com act«Am!
tf value of cortction is 250 or me, a RECORDED Notice of Commencement is required
lf value of Av(i $7$00or re, RECORDED Notice of Cornmnncerenti re&u
Iota\q /to4Construction
Cost of Construction g 2255.00
State Phone
State:
.Not Applicable
phone
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
iworust cow%s ~~~~is.
Name
Address
City
Zip
DESIGNER/ENGINEER
Name
Address__ Cty: _
Zig:
.Not Applicable
____ j Phone
BONDING COMPANY
Name
Address
City
7i
• Not Applicable
Phone
certify tat no work or installation h$ ¢omened prior to the issue0pr
�t 11>1.,e ro,..,,y n,alr,,.. ,cp,e.,.n101oon tt..t 1, I'""""" • P<"'"' wilt ""'""'�• 11,e/Jrm,t �<1<, to b..olo the >ebJ«! "'"''"'� whichis io conflict wth ny 2pplibi tome Owers As«action rules, twor ad covenants that marestrict or prohibit such future. ease consult with our tome Owners Association and review your deed for an restrictions which myal
In consideration of the gating of this requested permit,do hereby agree that! wilt in all respects, perform th work accordance with the approved plans, the Florida Building Codes ad St Augie Count Amendments
OWNER CONTRACTOR AFFIDAVIT; A0plication is hereby made to obtain a permit to do the work and installation as indict4
FEE SIMPLE TITTLE HOLDER.
Name
Address I C,ty
Zip
----
fhe following budding permit applications ae exempt froe undergoing a full courrency review room aditi¢
44tor strut4res, $wi000g pools, fences, wall$, 4gi, $4en r00 a004440rt0 a0t4r no4re/00%al us
WARNING TO OWNER your failure to Record a Notice of Commencement may result in paving twle4 improvements to your property. A Notice of Commencement must be recorded in the public record &4 ge ucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an ttorney before commencing work or recording yo tice of Commencement
5'J"""'" ,,i 0w-..r1 le�""' fo, o,.,,,., l S..n;\u .. ot Com,octor/1 �-""' t<olH,
STATE 0� FlORJOA -1 STArE OF FLORIDA
COUNTY OF so. COUNrvOrso
De8RA N
Mr Co8ON
(Signature of Notary Public State of fluids]
Personally Known -"OR Produced identification Toe of identification
toduel Oulu.\k¥
Swot0(or ffeed) ad subscribed before mn of
phwsical Presence or Oline Notariation
hi 2ot epk a04 w
Todd M Paroline
(Sugature of Notary Public State of la0ids)
aneo person mo.aking statement
Personally ow,OR po@duce tdentfication
voe of dent/fie ior
Produced
0lo 2c.4
Sworn tor affirmed) ad subscribed before me e4
¢/Piel Presence or Oline Notaration X 2 oat5pk o w
Todd M Paroline
DAT
RECEIVE D
pij_ ]
COMPLETED
6 5/6/0