HomeMy WebLinkAboutColene Israel permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
oaL-Z)2c22 Permit Number;
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Building Permit Application
Planning ond Development Services ./ Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone (772) 462-1553 Fax. (772) 462-1578
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION:
Address. C po _ - ? ' d
rvoery Tio.[\29.0L O\[--I Lot No. 3
sue rt ameC)enc l%cc\eccce Block No. c
Proia%c.feCe lc llahn I DETAILED DESCRIPTION OF WORK.'"" � �>Gjl=> cs 1..cl.% I ic.ii Zar' I E
New Electrical Meter Second Electrical Meter
[ coys1ucnoN mNrownow. < 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. S 227. 60 Utilities: Sewer Septic Building Height
OWNER/LESSEE: CONTRACTOR:
Name ( t ,, Name Toed4P%coli g4gt:.Pe Company Superior Fence and Rail of Brevard County inc
Address 2778 N Harbor City Blvd #102 corf < sate.£L z code:241IO re Cit Melbourne state:fl_
woe o6. 2-990-1325 Zip Code: 32935 Fa. 321.638-0086
E-Mat A 3) , ± " phone Ne 321-636-2829
ill in fee simple Title Holder on next page (if different E-Mail spa0000as@spriorfenceandrail.cot
from the Owner listed above) State or County License 31337 .
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required 4
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
C
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
l certify that no work or installation has commenced prior to the issuance of permit
St. Lucie(gMy makes o representation that is_granting a permit wilt aothorive the permit holder to bold the subject structure which cooties with aog_applicable Homeowners ssoc@ton els bylaws or_and covenants that may rest«g'or_prob@it such structure,Plese consult with your Homeowners As0igtion a review your deed foe an restrictions which may 2pp
In consideration of the granting of this requested permit, I do hereby agree that l 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 and accessory uses to another nonresidential g
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 lender or an tt rne before mencim work or recordin, tour Notice of Commencement - Signature of Owner/ Lessee/Contractor as Agent for Owner
s1Agron"LL couNrY or LAC\C
Sworn t0 lor •Hl,m� 1nd subsu,bed beforo me of _LPh,,...ul P,e .. n<e 0, __ Onl,ne Not,nfl11on mu Zrot Go2022
Todd M Paroline
Nae of person making statement
Personally own LOR P,oduoed ldcnt1/1C,!O<Jn __
ype of identification Produced £.X Signature votary Public-State oFiorids) G== cool\o038%%» MY Coin1$.9/0N HM 09392.8
PIES Febray 17, 200.5
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REVIEWS FRONT 20NING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED v 5/20/21 , •