HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAI! APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date Permit Number
SL4CT -, dee
' . , - Building Permit Application
Planning and Development Services ./ Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Pone: (772) 462-1553 Fax (772\) 462-1578
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION
oars.2127 3)000 Lo hr Rec& l >/0&2
Property Tax ID # 242±- 0L-0020-000-92 Lot No 20
Site Plan Name: Block No
role we-eace iota\\chon
I DETAILED DESCRIPTION OF WORK ... ;;� - I iota,)_a7 a44g pg. .c- and Lb-au
24 oE 'big)hod Cece
New Electrical Meter Second Electrical Meter I CONSTRUCTION INFORMATION: - - : 7 I • • '
Additional work to be performed under this permit check all that apply
_Mechanical - Gag Tan • Gas Piping - Shutters Windows/Doors - Pond
- Electric .Plumbing • Sprinklers Generator Roof Pitch -
Total Sq. Ft of Construction; Sq Ft. of first Floor
co.cocoon.s Hg° Utilities Sewer Septic Building Height
OWNER/LESSEE: CONTRACTOR·
vameL 3c De01CO Nam@ Toda M Proline
' Ar.292-] Sh@q0codLc.cg Comps. Superior Fence ad Rail of Bevard County Inc
oiy.( '&cc< safe Address- 2778 N Harbor City Blvd #102
code. 211032 Fax Cit Melbourne state.f_ z4et.%° Zip Code 32935 a 321.638-0086
Phone N 321-636-2829 cc as Lue.ca
Fill in fee simple Title Holder on next page (if different EM\spacecoast@superiorfenceandrai.com
from the Owner listed above) State or County Lice, 31337 - f value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. ' -
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: .Not Applicable MORTGAGE COMPANY- -Not Applicable
Name; 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 AFDVI; Application is hereby made to obtain a permit to do the work and installation as indicated
l certify that n woke or installation has commenced prior to the issuance of a permit
St. Lu<ic CountX make, no representation that Is g,ant,ng • p,rm,, will autho,i,c '11.crmlt �de< to bu�d 1he ,ub)Ctt wuc1urc whichis in_conflict with any applicable tome Owers Association rules, bylaws!covenants that may restrict or prohibit such structure lease consult with your Home Owners Ass0iation and review your red for any restrictions whit may apply
In consideration of the granting of this requested permit,I do hereby agree that wit, in a respects, perform the work
n accordance with the approved plans, the Florida Building Codes and St. Lule County Amendments.
[he 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 nor-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
Code Co,�"" oo <"o ;,o,;,. b<fo" <"< '"' ;,s,oof o <I,� ;,,ood <o ob;,;, ,,oaocmg, '°"'"" w<ffi ,.,do, o O '°7t��r::-m•odo• woc�m:;:;?'-'' Commoo""""'-- __
Signature of Owner/Lessee/Contractor as Agent for Owner Si iture of Contractor/License Molder
s1Ape or no0A,)4L st or1oz Lucie couvrvor A0 LC COUNTY OF '-
� to lor- 1ff>'medl and subscribed before me cf � to (or alllfmedl and subocrlbed before me of
�s.lcal zy• o, __ Online Notarlmlon �""•I Preo•nc:• or Online Notamation
this do S2o2h by ii wot.Lc. ot
Todd M Paroline Todd M Paroline
Name of person masking statement Name of person making statement
Personally Known \ORProduced identification_-- Personally Known 1oRPoduce identification__
Type of identification Type of identification
Produced -E -� ,,\' �"'•=-�� '" - \' <v
e DEBRA FINK ,: ,. Y COM4MI.9/0N
febey,22 (Signature of Notary Public ., % omweyr,c % ature of Notary Public- S - l%led fr Notary ab.
commission No {c (sesi commsson No. 1\09@28 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW RE VIEW REVIEW Review REVIEW REVIEW
DATE --
RECEIVED ore
COMPLETED - e
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