HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date \2\\700) Permit Number
s Le -, (01N ' ' l' ' - Building Permit Application
Planing and Development Services / Building and Code Regulotion Division Commercial Residential
2300 Virginio Avenue, Font Pierce At 34982
Phone: (772) 462-1553 Fax (772) 462-1578
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PERMIT APPLICATION FOR: pence Installation
PROPOSED IMPROVEMENT LOCATION.
22\? 1« 1fr/le - ct 2+04
5 Address
Property Tax ID # 2327-602-0027-000-l Lot No. A
Sile Plan Name: !:>2..1 ---::i �I -n ... Ai;;:ct r 1.a I " Block No.
role me. Acace a
I DETAILED DESCRIPTION OF WORK: as.suss ••• I islalT 18; Gr, .Ha iacludle 2- 5'ggcs
New Electrical Meter Second Electrical Meter
] CONSTRUCTION INFORMATION: "" • I
Additional work to be performed under this permit check all that apply
_Mechanical - Gas Tank • Gas Piping - Shutters Windows/Doors - Pond
- Electric .Plumbing Sprinklers - Generator - Roof Pitch
Total Sq. Ft of Construction Sq Ft. of First Floor.
cost oft constructions4o\6Z, 57 Utilities Sewer Septic Building Height.
OWNER/LESSEE CONTRACTOR:
Name . I Name Todd M Paroline
' ±Ee Company Superior Fence and Rail of Brevard County Inc
Addresg 2778 N Harbor City Blvd #102 cs.fc «EL
Zip Cod Fax Cit Melbourne state.f_
mode.25-5-L2l Zip Code. 32935 Fa. 321-638-0086
ea.CL.shaci6s.go.ch1le-@pi Phone AN 321-636-2829
in fee simple Title Holder on next page ( if different E-Mast spa0000st@@Superiortenceandraid.com
from the Owner listed above) State or County License 31337 . - If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is $,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
he
City:
Name
Address
City
Zip Phone io phone
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
l certify that no work or installation ha4 commenced prior to the issuance of permit
S1 lu<ie Countv m•kes J>O ••?<•••nm..., th>t ,s 3ran!<"6 • pe,ml! will •uth<>n,o th<l.lrm11 holder to build the subject structure which ig in conflict with any applicable Home Ow~ers Association rules, bylaws or an¢ covenants that may restrict ~r prohibit such structure,please consult with our Home Owners Association and review your deed tor any restrictions which may 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. 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, sr@en rooms and accessory uses to another nonresidential gs
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 atorn efore commencing work or recordige your Notice of Commencement
STATE OF FLORIDA c~uwrv or cuat L.LACI STATE OF FLORIDA couwr or t LuC.
-+---I-
Todd M Paroline
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
Ii
MANGROVE
REVIEW
SEA TURTLE
REVIEW
Name of person making statement
Personally Known-✓- OR Produced ldennfocat'on _
Type of identification
free4uced £ils., 3E
worpto (or affirmed) and subscribed before me of Ny""" ooeewato this.day of C. 02p bw
#
Swor9to(or affirmed) and subscribed before me of
_yeywow@eggs!oote @tration
this L.wot uC .2op b»
Todd M Paroline
• -
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED ev -
Name of person making statement
Personally Known \OR Produced Identification
Type of identification
routed 0l» .k (Signature of Notary Public State of l
lcoooo»» HH 091928