HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: c2,2o22 Permit Number
Le [JLNL » •
' mg Building Permit Application
Planing and Development Services . / Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Font Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION
loo _9po9(00 re»we Ec7.-018-0o. lot No LO
Site Plan Name; BtocN6.1pf
Project Name. lee ala \lahioo e I DETAILED DESCRIPTION OF WORK: r ,� .. 7 I lo
de±au zg,uh 3!%%~e,lee £- Gae Liz, Z dig;lg-
New Electrical ter second Electrical Meter_ L/) Lerce
] CONSTRUCTION INFORMATION: " .. : 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 Fiest Floor
cost of construction: $_[Q( 5r Utilities. Sewer • Septic Building Height: •
OWNER/LESSEE: CONTRACTOR: g,e Nam@ Todd M Paroline
«wjig ?s t l Company Superior Fence an Raif of Brevard County Inc ' City State:ft Addres 2778 N Harbor City Blvd #102
zce.3445l Fax. Ci. Melbourne state.fl
Phone No.202212 7 Zip Co% 32935 Fae 321-638-0086
ewe\Grech le299cl ca. phone Ne 321-636-2829
Fill in fee simple rite Holder on next page ( if different £-Ma[spa0000as@superiorfencea0drail.0om
from the Owner listed above] State or County License 13
"
f value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
f value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required '
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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 Zip: Phone
OWNER/ CONTRACTOR AIDVIT; Application is hereby made to obtain a permit to do the work and installation as indicated
¢@rtif that no work or installation has commenced prior to the issuance ofa permit
St[utie[Qty makes no representation that is ff@ting a permit will authorize the permit holder to build the subject structure which conflicts. with any applicable Homeowners ssocition rules, bylaws or and covenants that may restrict or prohibit such structure Please consult with your Homeowners Association and review your deed for an restrictions which ray 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 full concurrency review:room additions,
accessory structures, swimming pools, fences, walls, signs,screen rooms ad 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 le�e&/r�e ·ommenclnQ work or recording vour Notice of Commencement
Signature of 0wnet/ Lessee/Contractor as Agent for Owner
STATE Or FLORIDA, ) I uCC couNTY or 22
""g" weado»cede9gg me· __Physical Presence or _Online Notarization
mis wot DeC 0.l
Todd M Paroline
Name of person making statement
Pe,..,,,111'; Known · ✓ OR P,oduced ldentlflc1tlcn __
Type of identification Produced la ye
(Signature of Notary Public- State of Florida)
com«no»son No H0928«sea @ �w- MY COMMISSION HH 9392
EXPIRES: Fey 17, 202.5
Lt Booded fNotle trees
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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