HomeMy WebLinkAboutNathan England permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date Permit Number
SAA~ jg! p Ee--:- Building Permit Application
louring and Development Services ,./ Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce ft 34982
Phone (772) 462-1553 Fa¥ (772) 462 -1578
PERMIT APPLICATION FOR:pence Installation
PROPOSED IMPROVEMENT LOCATION
Address 85508 Cl)seine Davc o ece 0:'. 3q5
o,o�,,,,.,,, 2.�U,-�--�7 Lot No \o
Block No @%% .. is
] DETAILED DESCRIPTION OF WORK
" an 074 ' • ' 1- '. 4a± e ·, ' I
, ( ' it cl Le
New Electrical Meter Second Electrical Meter
[ coNsTRu€Tow IN+ow noN. • --- I C 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 Fiest Floor
cost ot constructor: $\022025 25 Utilities Sewer Septic Building Height
OWNER/LESSEE: CONTRACTOR: a#et? e Nghe. Todd MP%rolin
g! } Compean Superior Fence and Rail of Brevard County inc
ow. 'KCC see. Addregg.2778 N Harbor City Blvd #102 »ceded15 h» Cit Melbourne state.fl_
woe Ne.722924-21, Zip Cod% 32935 Fa 321-638-0086
eat.83c50, \ad @Lg00 ca Phone Ne 321636-2829
ill in fee simple Title Holder on next page (if different E-Ma spa00coast@superiortenceandrail.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.
lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required 4
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name
Address Address
City. State: City State
Zip phone 2ip: Phone:
FEE SIMPLE TITLE HOLDER: • Not Applicable BONDING COMPANY: ..Not Applicable
Name; Name
Address Address
City City:
Zip phone Zip hone
-
OWNER/ CONTRACTOR AFHDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
lertif that no work or installation has commenced prior to the issuance of a permit
S1. Lucio eo..n,:.y mak•t no representation that is granting a porml1 will authomo the f,!rm11 hold..- to bulkl theJ.ubjt,ct mu<tuf<I whichis in con lict with_ary applicable Home Owers Association rules, bylaws'an covenants that may restrict ~r prohibit such structure Plese consult with your Hone Owners Ass0iation and review your ed for an restrictions which my apply
In consideration of the granting of this requested permit, I do hereby agree that / 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, 4reen 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 of St
Lucie County and posted on the jobsite before the first inspection, If you intend to obtain financing, consult
_ with leA a'n t•�� commenco!!s work or re_<,_,zy�mmencement
Signature of Owner/lessee/Contractor as Agent for Owner Sig0 ure or Contractor/License Molder
st oro3cu al «Mcie stornoua\ L COUNTY OF couNror ·- C<' -
Swopoto (or affirmed) and subscribed before me of � (or affirmed I and sub,cnbed b<,/o,o mo cl
Physical Presence or Online Notarization sical Presence or Online Notarization
wot DR<2024 y of DCC. 202
Todd M Paroline Todd M Paroline
Name of person making statement Name of person maling statement
Personally Keown .ORProduced identification .- Personally Known / OR Produced identification
Type of identification Type of identification
Produced Produced
0• K 4
[Signature of Notary Public- State of F er Fature o otar Public- Sta ±J comae 6HHS39128 %. H4 093928 H ta0250n ' ;mow
8odd e ; febrt
' - - oded hvyPl
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE -
RECEIVED - DATE
COMPLETED ev •
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