HomeMy WebLinkAboutBuilding Permit App - AbernethyAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'Icn rit Nurni) r:
Building Permit Application
ftrtn;agr and Deveiopirent Services
SuridPfV QndCode peg ulution Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phorte: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence Installation - - - - — ----
FPROPOSED IMPROVEMENT LOCATION: _
Address; ---- 4 I
Property Tax I[
Site Plan Nam(
Project Name:
� _ a mug
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFOR 1ATlON-
Additional work to be performed under this permit— check all that apply:
lv echanical _ Oas Tank __ Gas Piping Shutters Windows/Doers _ f and
Electric _ Plumbing _Sprinklers Generator _._ Roof Pitch
Total Sq. Ft of Construction:
CostQfCon.5trur,tion:$
OWNER/LESSEE:
5q. Ft. of first Floor:
Utilities; ,Sewer _Septic
Name I
Address: on #.,.r
City; ti State:.
Zip cocfe:l{c'i `'- Fax;
Phone Ada. 7.- 9— UQED
Fill in fee simple Title Holde Qn next page (i cliffererit
from the Owner listed above)
CONTRACTOR:
6UiIding height
Nanne: Todd M Parolire
Comp;my' Superior Fence and Fail of Brevard County Inc
Address: 2TT8 N Harbor City Blvd if102
City: Melbourne State- FL _
Zip Code: 32935 Pax: 321-638--OD86
Phone No 321-636-2829
E-Mailspacecoast supereorfetnceandrail.eam
Sta to or County LPcense 31337 _
If value otconstruction is 2500 or more, a RECOMED Notice of Commencement is regL
If value of HAVC is $7,50D or more, a RECORDED Na ice of Commencement is required.
r�UPPLE'MENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:
Name: Dame;
Address; — ---- _ Address:
City: �------- -State- City:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLLER. Not Applicable
Name.
Address;
City:
Zi • Phone -
BONDING COMPANY:
Narn e:
Address:
City,
p. -- Zip: Phone:
OWNER f CONTRACTOR AFFI DVIT: Application is hereby made t# obtain a permit to du the work and installation as indicated -
I certity that no work or installation has commenced prior to the issuance of a Permit,
St. Lucie County makes no representation that is granting a Permit will authorize the permit bolder to build the subject structure
which conflicts with any applicable Idomeowners Association rules, bylaws or and -covenants that may restrict -or prohibit such
Wueture- Please consult with your Homeowners Associatioq and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codesand St. Lucie County Amendments.
The follom ing Wilding permit applications are exempt from undergoing a full concun-ency review- room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARN I NG TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property_ A Notice of Commencement roust be recorded in the Public records of St.
Lucy c County and posted an the jobsite before the first inspection. If you intend to obtain financing, consult
with Iender or-igWtorne before corn mencin w rk or record in g your Notice of Corn mencerneint.
Not Applicable
State:
Not Applicable
SigXatvre of 04ner/ Less'eeXontractor as Agent for Owner
STATE OF FLORID
COUNTY OF... ( .
Sworn to Jar affirmed and subscribed before me of Physical Presence or Online Notarization
this day of r 20Lbv
Todd Nl Paraline
Alameat person making statement.
`�• bF.6RAfIHpC
Per5Qnally Known ' Ok Produced Identification s N6YCOMkdlaSli}H?FNli09 9 8
Type of Ider'tifica#ior� Produced ,�; EXPIRE S:; ebnhuyl7,M5
1i 7�1 i * � � &k. lhdeawiilers_.
_V0
(Sign atureofT4otary Publir- State of Florida)
Commission No. � Seal)
REVIEWS CO ONTE I RZONING EVIEW REVIEW
DATE
COMPLETED
Rev 512M I-- -- -- -� ------
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW