HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED . 2olzcz Date Permit Number
s.Lue ' (014 . , ' ' ' ' -- Building Permit Application
Planning and Development Services / Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Font Pierce ft 34982
Phone (772) 462-1553 Fax: (772) 462-1578
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PERMIT APPLICATION FOR: pence Installation
PROPOSED IMPROVEMENT LOCATION:
ors.. 3333 yeah4 Cce :PE{ YR-" lot No 29
site Pa Name.. LQ±op Block No
Polee Name. £CJaL [e du.aeod
DETAILED DESCRIPTION OF WORK: a£ is3i a.it. ��
I dz5a Ieok2 fp encl de l 5£Lqc.kc -
New Electrical Meter Second Electrical Meter
] CONSTRUCTION INFORMATION e 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 of Construction: $ 5810 00 Utilities Sewer Septic Building Height: •
OWNER/LESSEE: CONTRACTOR
Name \ Name Tod%roll
Address: (d e Comps. Superior Fence an Rail of Brevard County inc
City. • ' state: Addreg 2778 N Harbor City Blvd #102
Zip Code: Fax. Cit Melbourne Stat%.FL
roe o.22.708.459% Zip Code 32935 Fa. 321-638-0086
E-Mail Phone Ne 321-636-2829
Fill in fee simple Title Holder on next page ( if different E-Mail spa0000as0@up0ni0/fencea0drail.com
from the owner listed above) State or County License 31337
f value of construction is 200 or more, a RECORDED Notice of Commencement is required.
f value of AVC is$So 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 AF[DIT; Application is hereby made to obtain a permit to do the work and installation as indicated
l certify that no work or installation has commenced prior to the issuance of a permit
St lu•d• Cou.,%1' makes no representation that is granting a p,:rmll w,11 •uthome <he {1rm11 holder lo bu�d the ,'Ybjec1 11ruuure whichis in co ict with_any applicable Home Owners Association rules, bylaws or and covenants that may_'flit or prohibit such structure,legse consult with bur Home Owners Association and review your deed for any restrictions whid my a0pl
in consideration of the granting of this requested permit, I do hereby agree that l will, in al 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 fro undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another nonresidential (e
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"rney beforeio_mmencm work or recOl'd, _your Not,ce of Commencem_!!_nt. - t / l L-
Signature of Owner eke@contractor Agent for Owner Sig#lure of Contra(er/License Holder
s1Ator.one, s1Ator noioA,,,t couNrY or k44CA COUNTY Or -ULCA"
w9to(or affirmed) and subscribed before me of � lO !or otllrme<!) 1nd wbocfibed befo,e me of Physical Presence or Online Notarization Physical Presence or Online Notarization this day of po2db this _.dy of 202b by
Todd M Paroline Todd M Paroline Nae of person making statement Name of person making statement
Personally#Knot oR Produced identification Personally Known oRrosuced ideotfcation voe of identfaio Ct t Type of identification
Produced, D Produced DE&RANK , nrcors.sow4 090.26
12s
4h cousson
4 jg.is_zit-uoezngs so Boot hey
views FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE L RECEIVED DATE
COMPLETED e.5/62 .. . • .