HomeMy WebLinkAboutBuilding Permit Application ti I
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All APPLICA,sLE INFO MUST BE CQMPLETEb,tOR,.APPLICATION TO BE ACCEPTED
Date:
Permit Number:
-- 109 59Y
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L° Building Permit Applicialrion
Planning arf#Develop s reni"Services
Bur'iding ond:Cod�Regoiation Division CQmmerclal Residential
2300'Virginia Avenue,Fort Pierce FL 34982
Phone:(772).461-1553 Fax:(772)462-1578:
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PEWIT aPPUCATIaN FOR": Fence Installation K
PRop®SQMPa� r ' TLac ION .� ri �T
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Property Tax ID# ��j "( ?'
Lot No.
Site`Plan Name: n Block No. _
.Project Na
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New Electrical Meter i Second Electrical Meter -
Additional vuork to be performed .under this permit—check,ali that apply: -
_ fVlechanical ^t3asTankasPiping Shutters Windows/Doors on i
_Plumbing Sprinklers Generator ^Roof Pitch
Electric .
Sq. i First Floor:-
Total S .Ft of Construction: Sq. Ft; of Firs r
Cost of;.Construction.$ J Utilities: r Sewer Septic Buildin e g Hight:
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Name' ! �. Name:,Todd`M Paroline
Address: i Company:Superior Fence and Rail of'Bre'vard County Inc;
City: ,_. Stater Address:2778 N Harbor City Blvd#102
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Zi Code: Melbourne FL I
p Fax: Gty ` State:___ iI
Phone No. i I Zip Code: 32935 Fax:. 321-638-0086
Fill n' mple Title Ho Pharye No
fee simple 321-&3f-2829 €
l lder on next page{if different E Mail spacecoast@super'i6HOnceantlra€I cam
from the;Owner listed above) State or County License 31337 i
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. ,
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UPPLEtk MTAItC NSTRUC
DESIGNER ENGINEER- Not Applicable MORTGAGE COMPANY:. Nr?t Applicable r
Name: Name:
Address: Address:
City: i State: City State;.
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Phon Zip Phone:Zip.., I
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HE.SIMPGETiTLE HOLO,tR- NcitApplicable BONDING COMPANY; _Not f olicable.
Name; � Name:
Address: Address
City: city:.
Zip". 1 Phone; Zip _ Phone: '
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OW:NIER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain,a permit to do the work and installation as indicated.: {
Lcertify that rio work or installation has commenced'priorto the issuance of a permit
St.Lucre County maces no representation that is granting a permit wtU authorize the permit holder to build the'subieet structure
which min conflict with any applicable Horne:Owners Association;rules,bylaws or.,and covenants that.rnay restrict or prohibit such
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structure.Pleaseconsult with your Horne Owners Association and review your deed for any restrictions which may apply_
tn.consideration of'the,granting;of this requested permit;I do hereby,agree thd0 will;in_all respects;.perform the work
in:accordancelwith'th'e approved plans;the Florida Building Codes and St.Lucie.County Amendments.
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The followins building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory siructuresi,,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 County and posts:;.d on.the jobsite before the first inspection, If you.intend tohobtain financing,,consult
with lender or an orn y before commencin work r n o otce of C.ommehcement: Y
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'Signa.. gyre Own,e Lesse%Contractor as Agent for Owner' Sign re of'Contractor/License Holder
STATE OF FLORIDA 5TATE OF FLORIDA ( p
COl1NTY OF COUNTY OF _ `' -U_ . -- .
Sworn to(or affirmed).and subscribed before me.of Sworn to(or affirmed)and.subscribed beforexhe of
hysical Pre nce r Online Notarized ysical Pre enc or Online N'otarizatio
this, day of i8�8:by` �` this , day of b`! :
Todd MI Pardl ne Todd M Paroline
f Name of.person making statement. Nam'of'person making-statement.
I
t Personally Known ''OR Produced ldehtification Personally Known' OR Produced Identification
i Type of Identificatioor Type of Identification
' P uced
Pr aced
(S,gn t e: f N r :P b c- t t lorida NotarV Publrc-state FI ride)`
Q**avnp STEPHANi} ROp�cS. cT a A
l Ca issronNo r r 'i.,��iarYPuo'ic ytf+ ytlarida Commission'No Yp _ C.H NtE, g
I Commission=GG 3tZ�g3 ,yam Notary?ubk€e-State.of Florida
Comin
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REVIEWS ' VISOR , PLANS VEG _. =°nd RO1/E
COUNTER- REVIEW REVIEW REVIEW ` RE 'E . - REVIEW} l REVIEW
DATE 1.
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AE'CEIVED i — -
T - Y ;
DATE
COMPLETED
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