HomeMy WebLinkAboutBuilding Permit App - Lopez All APPLICABLE 1NFO MU5T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'Al 36, Perm it Number.
Building Permit Application
Plerm rag and J7evdopmTent ServkL75
8wWdrn!yondCoureReguI36onU+vWon Commercial f�csic€c n1i�l
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone; (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION:
Address; [)Pjjl?Cn _ #1 `{ + ► I fir+ 1
Property Tax ID#, i -4 r - - Lot No-
Site Plan Name' f Bilock No- ] f
Project Narne: PelIQt t
DETAILED DESCRIPTION OF WORK:
: ]
-Fey irg w4h f— f — f {
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: - —
Additional work to be performed under this permit-Check all that apply_
_Mechanical —Gas Tank —GasPipin;gshutters �Wipdows/Doors _ Pond
Vectric —Pfvmbing -_Sprf0iers _ Generator __.Roof Pitch
Total Sq.Ft of Gonstruction: Sq, Ft, of First Floor;
Cost of Construction- 11 Utilities: —Sewer _Septic Building Hefght -- --
OWNER/LF FE: CONTRACTOR: -- -
1v brie d if G _ Name:Toad M Parchne
Address: Cornpany:Superior Fence and Rail of Brevarrl County Inc
City: , P ' rc state: r— Address:2778 N Harbor oily Blvd#102
ziP C,5de, t/q 1 Fax: City; Melbourne State:FL I
Phone No._73,-Z V - 0173 Zip Code: a ss Fax;
t-638-OD86
E-Mail: Ckri,. -C?5 W -7 .5 1Yjat_I• CDC Phone No 321-636-2829
Fill 3n fee simpie Title Holder on next purge(if different E-Mail sl acecoast s+�p riorlanoenndrail,00m
from the OwnerrWed above) State or County License 31337
If value of rons6ruetkm is 2540 or more,a RECORDED Notice of Commencement is;required. �R
If value of HAVC is$7.500 or more,a REWRDE;D Notice c f Cornmencemen t is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER- _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name:_ Narne:
Andress: Address: _
City: State- City- State-
zip: Phone Zip; Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name. Blame:
Address: Address;
City: City;
Zip: Phone. Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a perm#to do the work and installation as in,_ ..'• ::
I certify that no work or ins#aIlation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Conflicts with any applicable Horneo+�vners Ass�pe ation rules,bylaws or-and covenants than may restrict or prohibit such
structure.Please consul with your Homeowners Association 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 Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a fuE1 cvncurrency review,room additions,
accessary structures,swimming pools, Fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER* Your faTlure to Record a Natice of Commencement may result in paying twice for
improvements to your pro erty. A Notice of Cnmrnencernent must be recorded in the public records of SC.
Lucie County and p n the tobsitt= before the first inspection. if you intend to obtain l inarl[ir�g, consult
with len rtie fore cc rn rne nci ng work or recordin g your Notice of Commencement,
I
Signature of Owner/Lessee/Cflntractor as Agent for Owner i
I
STATE OF FLORIDA
COU NTY OF A- I A I
Sworn to(or affirmed)and subscribed before me of Physical Presence or Drlline Notarization
this day of 201-1 by
Todd M Paroline
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
4( igrlature of Notary Pu blic-Stake of Florida)
DEBRAFENK
CommMionNo. cal) �; ;.. lh'fGOt-1ii�ISSE�F,I#HH09�9�8
WIRES;February 17,206
4 �' Eandee 7'Aru Noia.•y Pv�lk Uddc�ie�s
REVIEWS FRONT ZONING St.PIE RVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER Ri VIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE --
RECEIVED
DATE - --- --
CONiPLETED — --
Rev