HomeMy WebLinkAboutBuilding permit applicationAI APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
oae.2-12- Permit Number
T. LUC% ,_
0 N e..
' -: Building Permit Application
Planning and Development Services ./ Building and Code Regulation Diiglon Commercial Residential
230 Virginia Avenue, Fort Pierce t 34982
Phone: (772) 462-1553 Fax. (772) 462-1578
PERMIT APPLICATION FOR: pence Installation
PROPOSED IMPROVEMENT LOCATION
Address 5343 l40 S
t, Et. Perce, ., 34151
Property Tax ID # !3 0000 61 00o Lot No 29
Site Plan Name Dr/en Veda Block No I
Project Name: Fence fallation
[ oeruuo oescw now or won. ... · :� I
in4at! a285' z$%' high ing] £enae ±0 lncu& a5 ales ee
New Electrical Meter Second Electrical Meter
] CONSTRUCTION INFORMATION: = m - + = r 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 Sq. Ft of Construction: Sq. Ft. of First Floor;
Cost of Construction: S 98%8.72 Utilities Sewer Septic Building Height
OWNER/LESSEE: CONTRACTOR:
Name_pat[en Veg t4gm@ Todd M Paroline
' Address. 5343 Lg0 5t Comps Superior Fence and Rail of Brevard County inc
cw. fa± Perce State. FL Addreg4 2778 N Harbor City Blvd #r102
Zip Code 3995 Fax Cit Melbourne State: fl ·-
Phone No 250-2l0-355 Zip Code 32935 Fax, 321-638-0086
e-wait Nega.Deg9ant @ gmat. con Phone Ne 321-636-2829
fill in fee simple itie Holder on next page (if different EM spacecoast@superiorfenceandrait.com
from the Owner listed above] State or County Lice,6 31337
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of AVC is $7,500 or more,a RECORDED Notice of Commencement is required '
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 ip: Phone
OWNER/ CONTRACTOR AFIDVIT; Application is hereby made to obtain permit to do the work and installation as indicated
leertif that no work or installation has commenced prior to the issuant ofa permit
St. Lucie County makes no representation that is gr"ting a permit wilt aothoe the permit holder to build the subject structure which confitCtS with•� opplinble Homeow,..,rs ssoc" 1011 Niu. b)'laws <>r and covenants that may reWlji o, ptoh,tl ouc!I structure. Please consult with your Homeowners Association and review your deed foe any restrictions whicl may pp
n consideration of the grating of this requested permit, t do hereby a8e that l watt, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and it. cie County Amendments
The following building permit applications are exempt from undergoing a full concurrency review room additions,
accessory structures, swimming pools, fences, walls, sign screen tors and accessory uses to%other 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
�'
'" '"' ;,"'" ''"" '"' ''"' '""'"""· """ '"""' fO '""" ""'"""'· """" me before mmencing work or recording your Notice of Commencement.
, ,
igo@tire of Ownet/ Lessee/Contractor as Agent for Owner
sAtornoRP 4Ce COUNTY OF
wet"""whet«teem· .L P!lySrCII Pre .. n<I or Online Notarization
this_day of c 1022 by
Todd M Paroline
Name of person making statement
P•,.,,nally Known ✓- OR Prod11ted ldent,fic&tlon __ $ wr w il"COMM,.,_#1110931t21 Type of Identification Produced EXPIRES. Feby 17, 2005 £le ho 8ood hey Pet
(Signature of Notary Public- State of Florida)
comae»son e (40?39 «sea
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE gee.o /20/2