HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAN APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED o»«cl-1-2o22 Permit Number
au%a Ng, " = Building Permit Application
loaning and Development Services / Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fae (772) 462-1578
PERMIT APPLICATION FOR: pence Installation
PROPOSED IMPROVEMENT LOCATION:
L2 mos.nae Dc €± 8ecc< €L 2499/ Address:
Property Tax ID #t: dz570l- 0\2-0002 Lot No 34
Site Plan Name Block No 6
Project Name face a.2ia \Ichioo
I DETAILED DESCRIPTION OF WORK: I
" ' i ' / x" 4 ' • nee Lnct a z-% 2 c -
New Electrical Meter Second Electrical Meter
I 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 Sa. Ft of Construction Sq. Ft. of First Floor;
conotconowdo.s_3828Lo_,l Utilities Sewer Septic Building Height
OWNER/LESSEE: CONTRACTOR
Name� C Name Todd M Paroline
' Address. , -. Company Superior Fence and Rail of Brevard County inc
City: 'Ie sate. fU Addrege 2778 N Harbor City Blvd #102
zcsae. 101@ roe. Cit Melbourne sate.f!_ vzezzg Zip Code. 32935 Fa 321-638-0086
uuc, a.a.,ts; Phone Ne 321-636-2829
fill in fee
simp:
,:le Holder on ne.i page (Lren°i £Mg spacecoast@superiorfenceandrail.com
from the Owner listed above] State or County License 31337 .
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required
f value f HAVCi $7,500 or more, a RECORDED Notice of Commencement is required. y
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 AFFIDVIT; 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, tuciefgtymakes no representation that is gt9ting a permit will authorize the permit holder to build the subject structure which conflicts_ with any_applicable_Homeowners, ssocation 'gs bylaws or_and_covenants that_may restigtor_prob_its" structure.Plese consult with your Homeowners Association ar review your deed for any restrictions which maiy apple
n consideration of the granting of this requested permit, I do hereby agree that t will, in all respects, perform the work in accordance with the approved plans, the Florida Buiding Codes and it. 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 nonresidential 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 af St
Lucie County and posted on the jobsite before the first inspection, If you intend to obtain financing, consult
w,thlen� ;; .�re - mencln workorrecord,n ou,Not,ceofCommencement.
Signature of Owner/ Lessee/Contractor as Agent far Owner
srt or nomioA L I ucte COUNTY OF
Swoft I<>< 1fl,rm::fJ1nd ouboc,.bed before me of --✓-Phys«:al Prt!fn<t or __ Onbn• flotorln!lon
mes dot C 202?
Tod M Paroline
Name of person making statement
Personally Known ® PEl!R,\FNI OR Produced identification -- Y Co8I9.9IN 099928
Type of identification Produced EXPIRES. Feby 1,2025
Ola.N. Booed telly Pete
Laa,Torr Fi -ite ~r Fe
common e. HH-002748%
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED 6w52 , •