HomeMy WebLinkAboutARLEEN GALVIN PERMIT APPLICATIONAl APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .
Date Permit Number,
s Luc ' 444J;±
' " • tu.a Building Permit Application
Planing and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginie Avenue, Font Pierce Ft 34982
Phone: (772) 462 1553 Fax. (772) 462-1578
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION:
as Ge1lo2. Rroau ±cae
Proper tao [L-La\\-0210-000- Lot No
Site Plan Namne Block No
project Name
DETAILED DESCRIPTION OF WORK: I
l e l l ' ' " ' ' €
l I - - \ _ 0 ' 1.Le, .,, . '
New Electrical Meter Second Electrical Meter I CONSTRUCTION INFORMATION: T > T'lt< - : , ' I
Additional work to be performed under this permit check all that apply
_Mechanical - Gas Talk • Gas Piping - Shutters .Windows/Doors - Pond
- Electric Plumbing • Sprinklers - Generator - Roof pitch
Total Sa. Ft of Constructioe Sq.t. of Fiest Floor
cos ot constroaton.s 300s" Utilities. Sewer Septic Building Height
OWNER/LESSEE CONTRACTOR:
voe. e f , Name Todd MP%roll8 7± l Compa Superior Fence and Rail of Brevard County in
City: ,
State.kl Addreg«-2778 N Harbor City Blvd #102 , Cit Melbourno State FL Zip Code L Fax Pe we.ga01234_I Zip Code. 32935 Fa 321-638-0086
%
E-Mail Phone Ne 321-636-2829
Fill in fee simple Title Holder on next page (if different £Mg4spacecoast@superiortenceandraid.com
from the Owner listed above] State or County Licen,6 31337
f value of construction is 2$00 or more, a RECORDED Notice of Commencement is required
f vale of HAVC is $1,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
State
Not Applicable
- .Not Applicable
Phone:
MORTGAGE COMPANY:
Name
Address:
City
Zip:
BONDING COMPANY: •• Address
L
Zip: Phone:
-Not Applicable
Phone
DESIGNER/ENGINEER
4
hf@
Cit _State._
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable Name. _
" city
Zip:
OWNER/CONTRACTOR AFFIDVIT; Application is hereby made to obtain a permit to do the work and installation as indicated
certify that no work or installation ha commenced prior to the issuance of~ permit
St Lu<,e County mikes no representation that Is 1,.ntlnc • �•ml! wlll 1uthorite tM/Jrm,t holder to bl>Nd tM ,ubjecl muctu,e whichis in conflict with an applicable 4acne Owers Association rules, bylaws or and covenants that may restrict or prohibit such structure. lease consult with your Home Owners Association and review your deed tor any restrictions which mnay apply
in consideration of the granting of this requested permit, I do hereby agree that l will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. tucie County Amendments.
fh following building permit applications are exempt from undergoing a full concurrency review roomn additions,
accessory structures, $wiring pools, fences, walls, sign$, $green rooms and accessory uses to another nonresidential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St
Lucie County and posted on the obsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney befor commencln� work or recrmg_your Notice of Commencement
Sl1noM• of 0w ..... , � ... If_;�. 11 "lent for Owne, S�n11Li Con'l,:tr;o:.n,e Hol<le,
s1Apt_pr roI LL e COUNTY Or LACI- sAorAooAc_
couNrY or LUC1e -
Name of person making statement
Personally Known og Produced identification
woe of ilea0in •
GROVE
IEW REV W RE VIEW
Soto« 6i au Gue suite or Foos
Commisio
Sworn to(or affirmed) and subscribed before me of Physical Presence or Online Notarization this _day of 2020 b
Todd M Paroline
PLANS
REVIEW
4.4 Public State of Florida J
Name of person making statement
i>.rsonolly Known _J_ OR Ptoclu<ed 1<1ent,fie1t1ot1 _ Type of identification
tie
-· - .%.5%.. Commission No . -. . . • £XE$ #Abey 17,202$ - - he\.e • REVIEWS FRONT ZONING 3 R''I R
COUNTER REVIEW REVIEW
Sworn to(or affirmed) and subscribed before me of
\Physic Presence or Online Notarization
i mo.ono
Todd M Paroline
DATE
RECEIVED= DAT£
COMPfIED] hhhhh Rev. 5/6/20 -