HomeMy WebLinkAboutBuilding Permit Application - Eric MaarAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number:---------
Building Permit Application
Planning and Development Services
Buildmg and Code Regulation D1vmon
2300 V,rgrnia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial _
CBDG Funding _
Residential _ _,',('-----
PERMIT APPLICATION FOR:
Address: V 1 PropertyTaxlD# \5\'2.·;()1- \40-cx;()-2.
Site Plan Name: £;v I(. tv\qf!.Y •• •
Lot No 481
Block No. _
Project Name: _
I DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter (Affidavit required)
I CONSTRUCTION INFORMATIO�:
Additional work to be performed under this permit - check all that apply:
Windows/Doors Mechanical
Electric
Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinklers
Shutters
Generator Roof
Pond
____ Pitch
Building Height: _
Total Sq. Ft of Construction:=-�-----
Cost of Construction: S ffi:3:-:0 Sq. Ft. of First Floor:----------
Utilities: _ Sewer _ Septic
Company: Superior Fence & Rail of Brevard County Inc
Address. 2778 N Harbor City Blvd #102
CONTRACTOR:
Name: Todd M Paroline
from the Owner listed above)
Crrv: =��EJ�:iiit=�==:�s�ta�te�A...:L
Zip Code: ...'.�!d':2.L_ City: Melbourne State: ..EL
Phone No. E- Zip Code: _ _,3c=2c,9,c
3S,.___ Fax: 321-638·0086
Mail: Phone No 321-636-2829
Fill in fee simple Title Holder on next page {if different E-Mail office@fencmgbrevard.com
State or County License, _ _c3cc1c.,3c.,3�7--------
Name
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER:
Name: Addres-,-,---------------
City: ----------- State:
Zip: Phone
. _
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Addres-,-,---------------
City: _
Zip: Phone: ------ ------------
MORTGAGE COMPANY:
Name: ----------------- Address:---------------- City: State:
Zip: Phone:-----------
BONDING COMPANY:
Name: _
Address:----------------
City:-------------------
Zip:----- Phone:------------
_ Not Applicable _ Not Applicable
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as .ndrcated.
t certify that no work or msteltancn has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that rs granting a permit will authorize the permit holder to build the subject structure which confhcts wuh any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 plans, the Florida Building Codes and St Lucie County Amendments.
The following building permit applications are exernct from undergoing a full concurrency revrew: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Yourfailure to Record a Notice of Commencement may result in paying twice for
improvem ts to ur roperty. Notice of Commencement must be recorded in the public records of St.
Lucie ya t on th bsite before the first inspection. If you intend to obtain financing, consult
wi t!o b e commencin work or recordin our Notice of Commencement.
Swo�i,t.R (or affirmed<:ft:subscnbed b';f,o[e me of
this� day of , 20.JJ.. by
Todd M Paroline
Commission No.------ {Seal)
¥- Physical Presence or __ Online Notarization
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