HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COIVIPLE7TED FOR APPLICAT10N TO 8E ACCEPTED
Date: I4LI._._� Permit Number: --
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Building Permit Application
Plann;ng and Developmen a Services
Building and CWeRepvhrtiorrDi sion CommerciDl Resldr:nti7l
2300 Virginia Average, Fort lrierce rL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION RFOR. Fen Installation
PROPOSED IMPROVEMENT LOCATION -
Address:
a Pierce. -L 3qq51
PtopertyTaxlD#: —00—
Site Plan Marne: �)q ; fIlk._ 1 � `• ;.e1 _ t71- 3 qqo
Project Barrie: ffnC
DETAILED DESCRIPTION OF ORK-
Lot Mo-
BIatk N a_
New Electrical Meter Second Eleccrical Meter
CONSTRUCTION INFORMATION: - ----
Additranal work to be performed under this permit —check all that apply;
—Mechanical —Gas Tank _Gas Piping —Shutters _ Windows/Doors Pond
Electric Plumbing _Sprinklers _Gencrator _Roof — Pitch
Total 5q. Ft of Construction: ..---.--._-..._ ....._ _-.— Sq- Ft. of First Floor:
Gast of Construction: 4ql : 31 Utillties: _Sewer _Septic B-u11dinZ Height:
OWNER/LESSEE.-
Name bavy .
Address: 5i q 'f`xY1J4na..--
City. �$ • Nr6a, State'
zip Code: 34q,5i Fax: ___---
Fill in fee simpleTitte Holder on next page (it different
from the Owner Misted above)
CONTRACTOR;
N;@ Fne _ Todd M PaFebe
Company: Superfor Fence and nail of Brevard County Inc
Add ress:2776 N Harbor icily Blvd-6102
City: Mekhoume State- FL
Zip Cade 3 M5 Fax- 7-G38-0d8
Phone No 321-636-262R
E-Mail spacecoast superiorlenceandreil_eom
State or County License 313S7
If value of construction i5 2500 a more, a RECORDED Notice of Commencement isyequTred.
If value of HAVC is $7,500 or more, a RECORDED Notfre of Commencement is required.
I U_PP LE iENTAL CON51-RUCTION LIES! LA'VV
DESIGNER/ENGINEER: Not Applicable
Name:
Address;
City: State:
zip: .. Phone
INFORMATION:
i MORTGAGE COMPANY- � Not ApphcaWe
Nl me:
Address:
City: State:
Zip: phorne; - -
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name; Name_
Address: Address:
City; --- City:
Zip= Phone: Zip: Phone -
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby rnadetoobtain a permit to clothe work and installation as indicated_
I certify that no work or inst211ation has commented 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 su4 ject structure
which conflicts with anj applicable HomeuwnersAssociation rules, bylaws orand covenan#s that may restrict or prohibit such
structure. Please consult with your Homeowners Association and review your deed for any restrictions which may apply,
In consideration of the granting of this requested permit, I du hereby agree that I will, in ell respeo#s, perform the work
in accordance with the approved plants, the Florida SuiIding 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, screen roams and accessory t6es to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
irnprovernents 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 lendeQX an ynrnqy before r5marlCirtg vuork or regarding you r Notice arf Commencerrtent. —
Signature of Owner/ LessliefContrattor as Agent for Owner
STATE OF FLORIDA
COUNTY OF _ ,. n
Sworn to for affirmed) and Sulb5cribed before me of fxhysi l Presence or.. Online notarization
this may of C _ 20 by
Todd M Paroline
Narneof person making statement,
Personally Known '1 ()R Produced identification!
Type of identification roduced
(5ih-.ature of ryotar� Public- State of Florida)
Commission No. (Seal)
REVPEWS I FRONT ZONING
i COUN7ER I REVIEW
ELATE
RECEIVED
COMPLETED
DEBRA FINK
ffi GC)M.MIG=N g tiH 093928
EXPIRES: FaduaTy 0, 2025
Tku #DIY PL&k { row-'rt am
SUPERVISOR i PLANS i VE-GETATION SEA TURTLE
REVIEW REVIEW REVIEW I REVIEW
MANGROVE
REVIEW