HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
0
L 11 ����� 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
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION: _
Address: --
Property Tax ID #:2�'-�'� a�/�1 -\ r,Q,(� " I Lot No._
Site Plan Name-Q2.�A�,- r\/�ftmr" r - l 4 (wz Block No. _
Project Name: 'fr�(,LV(J'1 I "rrev-oe 06�v-
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION 71�FORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical __ Gas Tank _ Gas Piping _ Shutters — Windows/Doors
— Electric _ Plumbing __ Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 11�%�
OWNER/LESSEE:
Sq. Ft. of First Floor:
Utilities
►l./ � _
• Code:
• -
1l .
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
N• •
Pitch
_ -Sewer _ Septic Building Height: —
CONTRACTOR:
Name Todd M Paroline
Company: Superior Fence and Rail of Brevard County Inc
Address: 2778 N Harbor City Blvd #102
City: Melbourne State: FI_
Zip Code: 32935 Fax: 321-638-0086
Phone No 321-636-2829
E-Mail spacecoast@staperiorfenceandrail.com
State or County License 31337
If value of construction is 2500 or more, a RECORDED Notice of Comm ncement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencetnt is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 plans, the Florida Building 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 to 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:
with lender or an a_Uornev before commencing work or re our N Commencement.
Signature o Ow r/ Lesse'e/contFactor as Agent for Owner
Signa re of Contractorj ense Holder
STATE OF FLORIDA, 1 p�pn
STATE OF FLORIDA (
COUNTY OF ``l
COUNTY OF \ V l�l _
Sw rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notariz
this �" day of Nov _,zz9�0 byill
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notari ti n
this � day of ���— —z by�24
-706A �'l
Name of person making statement.
Name of person making statement.
Personally Known /" OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identificatio
Pr uced
Pr uce�*AA
OA/Lu :?, 910L -
—
I' - t oI'd
u' • STEPHANIE BROOKS
Commission No.,�k1% Notary Public -�I�f Florida
(Sin Nocl—
`' Commission M GG 311093
My Comm. Expaes Apr 5, 2023
(Sin r of Nota
J o� "., STEPHANI OKS
�,'���: Notary Public tate of Florida
Commission No. I� " Commissior{ eBIJ12093
* 1013
ov N;; : ` My Comm. Expires Apr 5,nl Notaon
roug ationa
ary ssn.
REVIEWSISOR
PLANS
VEGET TION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.