HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAI APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Mei eronithNufnbef
Commercial
Building Permit Application
Resitental _/ Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone; (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: pence Installation
PROPOSED IMPROVEMENT LOCATION:
+11505 L\ls Goad f± Pecce u. 2/95
r«or» toe. 220- 21l2-000L-0O-2 to.
tiled" ame. Aace_ins±zlchioo Block No.
o fence Slii 29' of «' J L-12'de dcuble le
I DETAILED DESCRIPTION OF WORK. h ::;;::
New Electrical Meter Second Electrical Meter
] CONSTRUCTION INFORMATION:
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
itch
Se ft ffiegtfleo Iota4S.ft pf Construction; _
cost ot constructors.11Q2(_, to Utilities Sewer Septic Building Height
'
Address- 2778 N Harbor City Blvd #102
Cit Melbourne
Zip Code:38° Fax. 321-638-0086
Phone Ne 321-636-2829
E4Mg4spa00coast@superiorfenceandrail.com
Nam Todd M Patoine
Comp Superior Fence and Rail of Brevard County Inc
CONTRACTOR: OWNER/LESSEE:
N�me � \ ·' ,,. I
Address [[ , \l
State or County License2
i%a.cacaos6o%a%,scoots ioardaaaace«ors. ' If value of HAVCi $7,$00 or more, a RECORDED Notice of Commencement is required
l cr crCR sue.e
v cede. 2109L5 roe.
more No.22-777-092 ow.iaa.a.%.%%cod.cs,
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:
.Not Applicable
.Not Applicable
phone;
Name
Ailee
Cy:__gate
Zip: phone
BONDING COMPANY
Name _ .4
City:
Zip
State
Not Applicable
Phone
Name
A(ie
City
Zip: phone
FEE SIMPLE TITLE HOLDER-
Name
liege
City
Zip - OWNER/CONTRACTOR AIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
l certify that no work gr installation has commenced prior to the issuance of permit
St Lucie County m•ku no repro>enmlon \hat is granting a permit will autho"'e tho[lrmlt holder to build tho sub)ctt stru<turo which is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that mar restrict r prohibit such structure.lease consult with your Hone Owners Association and review your deed for any restrictions which may apply
In consideration ot 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. ucie 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 nonresidential us
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 Countvt
and posted on the jobsite before the fi,,t mspcc1 io, If vou intend to obtain financing, consult
with lender or ay attorney before commencing work or recordipy your Notice of Commencement.
< nuAt, th
Signature of OWnet/ Lessee/Contractor as Agent for Owner Signature of Contractor/license Holder
sAe or nompA kl COUNTY Or Sc LC s1Are or romioA_ Lu < couNrY or O CACAC -
So to (or affirmed) and subscribed before me of
slc,r Prt15$t or __ Onllnt N01'ri,.tlon
do of CC 202¢ b
Todd M Paroline
Sworpto (or affirmed) and subscribed before me of
yPwiatree4g$,8oolioe Notaraaton
is 2. wot eC. 204 w
Todd M Paroline
Name of person making statement Nae of person making statement
Personally Know LOR Produced Identification
Type of Identification to.u4ea KC1ad,¥
Sina»tore of vr
1� DEW.f
Commission N t '' Mr cows sot4,M 49099.2. sh k,is!_es. re»+ tt,2os eioodd hie Udwre
OR Produced identification _
• ,,
(Signature of N
Commission No
Personally Known L/ ype of identification
Produce.
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR PUANS VEGETATION
REVIEW REVIEW REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED L.
ev. 5/6/20
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