HomeMy WebLinkAboutBUILDING PERMIT APPLICATION15.-
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ALL AP?le IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED11 t�
Date: i SCABN1NED Permit Number:
.:1 St. Lucie County
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial 'Y� Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRO POSED,]MPROVEMENT:LOCATION:
-,
Address: p VS
41sill _2A1 1VLI•T t_ L�CiAO
Legal Description: "�J
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'116 . M
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DET
OF WORK
'ILED,.DESCRIPTION
.CONSTRUCTION
INFORMATION:
Additional worK to 13orme under tispermit—c check al apply:
je�e
1JHVAC LJ Gas Tank Gas Piping _ Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator 11 Roof
Total Sq. Ft of Construction: S❑n of First Floor:
Cost of Construction: $ �a Utilities: Sewer Septic Building Height:
OWNER/LESSFF.-'
CONTRACTOR:
Name{ S.UNrL ,SL�VI
ame: Todd Paroline
Company: Superior Fence and Rail
Address: 7- t7 QQC /3 O, TVk _
Address: 2778 N Harbor City Blvd #102
City: _!10 L.15Ti.�J JX xate:
City: Melbourne State: FL
Zip Code. 7_ �2J Fax:
Phone No.
Zip Code: 32935 Fax: 321-638-0086
E-Mail:
Phone No. 321-636-2829
Fill in fee simple Title Holder on next page (if different
E-Mail: spacecoastCa)superiorfenceandrail.com
State or County License: 29589
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW.*INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:e
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
betgre the first inspection If you intend to obtain financing, consult with lender or an attorney before
r eomlmencine work or rd ra,- ur Notice of Commencement.,
of
STATE OF FLORI ` 1 . STATE OF FLOR
COUNTY OF c� X (AL—) COUNTY OF L% 11 A
The forgoing instru ent was acknowledged before me
this day of Yl 20 VJby
.me of person acknowledging I
Personally Known OR
Type of Identificati
� -
Commission No. e
iA.' °.: 'r
Revised 07/15/2014
The oing instrum nt was acknowledged before me
this 11 day of TU 11 . 20 Aa by
(Name of person acknowledging )
P*
(' ature f Notary Public- of Florida
Personally Know ioi
Type of Identific i- i...... ced SWH q EB i _ 2
_.i EXPIRES: Apti15,204
Commission No. mNrbta,.vPu�6da'k inters
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