HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST·BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: ---------
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 ---- Residential ----
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROijOSED lf�lPJi.@Vj;l}&11��J)10��JION':
Property Tax ID#: Lot No. ----
Site Plan Name: Block No.
Project Name: I'O \t,y-p_Q.Q 31Dh \eRD --
Setbacks Front ---- Back: Right Side: Left Side: _
DElectric
er t rs permit - c ec a
DGas Piping
Dsprinklers D Generator
O Windows/Doors
DRoof
Total Sq. Ft of Construction:--------
Cost of Construction:$-�
=
-
·
=--___._,._..,_ _
S� of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
Name to1c>oa2::e £rqDOJQb
Address: 54--\ \, fu{l+ �f,A(')_J:1 Vd
City: fCY± V\ CY ( U State: EL--
Zip Codr 3A0j5\ Fax: _
Phone No. �
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Todd Paroline
Company: Superior Fence and Rail
Address: 2778 N Harbor City Blvd #102
City: Melbourne State:�
Zip Code: _3_
2
9_3_5 Fax: 321-638-0086
Phone No. 321-636-2829
E-Mail: spacecoast@superiorfenceandrail.com
State or County License: _2_
9
5_8_9 _
CONTRACTOR:
If value qt construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENJAi.C�N0§T�UCTION LIEN LAW INFiORMJ:'.TION:
_ Not Applicable _ Not Applicable MORTGAGE COMPANY:
Name: _
Address: ------------------- City: -------,----------State: Zip: Phone: _
DESIGNER/ENGINEER:
Name: -------------------- Address: ------------------- City:-------------- State:
Zip: Phone:------------
_ Not Applicable _Not Applicable FEE SIMPLE TITLE HOLDER:
Name: -------------------- Address:-----------------
City:------------------- Zip: Phone: _
BONDING COMPANY:
Name: _ Address: _
City: _
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 before the first inspection. If you intend to obtain financing, consult with lender or an attorney before co encin work or recordin our Notice of Commenceme
_ Signature of Owner/ Lessee/Agent
STATE OF FLORI�
COUNTY OF U tc.J..Jv STATE OF FLORID!:3'-L
COUNTY OF \.. '1 0\.0\Jk
The J.!?�ing instrurl}tnt was acknowledgep_ b�efore me
this .£:?day of nA�t.As±= r 20 LJµby
tD\CJrLfl,rl) :P1nhQJRD (Name of person acknowledging)
The forgoing instrument was acknowledged before me
this6L_ day of �\AS± , 20 \iQ_ by
·-ro� vaw,,v\.Q! (Nam�'bfperson acknowledging)
Revised 07/15/2014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4224352 OR BOO!<: 3906 PAGE 520, Recorded 08/26/2016 03: 04: 30 PM
NOTICE OF COMMENCEMENT
��:E�FOF �!:� Sf \ !J (�
THE UNDER_SIGNED h�by gi_vcs notice that imp,ovcme�-�ill be made to certain real property, and in accordance with Chapter 713, Florida Statutes.
the following information rs provided rn th,; Notice of Commencement.
I.
2.
3.
Descripiion of property: (legal description of property, and street address if available) l O tel uroo µJV\- .. �t: -p,u,, :iJ Lb\- 19 , C41 \ fud Plc.-w P\vd rb<l t\CvL.C . 8 6cf6i
Gcneraldescriplionofimprovement.\DS:Ta \ 1 \let)' � 3' \Nu.cd B:.txe.., w) 4 qct±fS . J
Owner infonnation:
a. Namcandaddrcss: ffilC..to..e..Q :P1D\'.1'..! vo ,541 l ffyt D.tvC.C.. J:;\vd ,tad P1c1::u: ,FL-0<¥3o\
b. Phone number:
c. Name and address of fee simple 1itleholder (if other 1han owner):
4. Contractor:
a. Name and address: Superior !Fence and Rall of Brevard County, Inc. 2778 N Harbor City Blvd, Ste 102, Melbourne, FL 32935
b. Phone number: 321-636·2829 ...:......�����������-
5. Surety:
D. Name and address: n/a
b. Amount of bond S nJa c. Phone number:
6. Lender:
a. Name and address: ..DiJL_
b. Phone number: 1ll.it_
1. Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13( I )(a )7.
Florida Statutes:
a. Name and address: n/a
b. Phone number: ..Dla__ _
8. In additioo to himself, Owner designates the following pcrson(s) to receive a copy of the l.ienor's Notice as provided in Section 713.13( I )(b),
Florida Statutes:
a. N�ncandaddress: .nli!.__----�--------------�-------------- b. Phone number: Jllil__ _
9. Expiration date of notice of commencement (the expiration date is one ( I J year from the date of recording unless a ditferent date is specified) __ n/a
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AfTER THE EXPIRATION OF THE NOTICE OF COMMENCEMEJ\'.T
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART l, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PA YING TWICE FOR IMPR::lVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED ANO
POSTED ON THE JOB SITE BEFORI: THE FIRST INSPECTION. lF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING �K OR RECORDING YOUR NOTICE OF COMMENCEMENT.
i/ _!1112
Signature 'of Owner or Owner's Authorized Officer/Director/Partner/Manager
Signatory's Tiile!OfTlc.: __,(}�t._,\.,_D.1-1,�Q:..-><\C'---------------
The fore�ing �strun,enl was acknowledged before 1110 1h,s � day ofs--c--=-'-A-'-'g'-"1uB��,._ , lli lt) by lY\ \ (,X),Q R.� �\C\WA VC (name of person) as (type of authority, ... e.g. offim. trustee, attorney in foci) for__ whom instrument was executed).
Signatu e of 01"'Y Pubuc - Staie or Flori a
Prim, rype, or stamp commissioned name of Notary Public
Personally Known----- OR Produced Identification --"'$,.__ __
Type of idcn1ilica1ion produced ---lfiJ.o«cJU.A,..-----------
Verification pursuant 10 Section 92.S25. Florida S1aru1es
Signature ofnarural person signing above
Uru!cr penalties of perjury, 1 declare that I have read the for�ing and thal the facts staled in i
_
n,rt t
.
ruc 10 the best of rrrt lcnowle!l-gc and belief. v erg ,-< . .
AUG 2 E 2016
SHEET J OF 2 (SURVEY SKETCH)------------ SURVEY NOT COMPLETE WITHOUT ALL SHEETS
MAP OF BOUNDARY SURVEY PREPARED FOR RACHAEL M1TCHELLE PINHEIRO AND MICHAEL Z. PINHEIRO
PROPERTY FRONT VIEW
FHA/ VA REQWREMEJVTS WELL TO EAST PROPERTY LINE = 22. o·
WELL TO NORTH PROPERTY .LINE = 5. o
WELL TO SEPTIC = 6�J. 7'
IVl:-"1"£ ru JJR""AJ]•(Flc"L"fJ = 65 6
WEH TO BUILDING= .19.4'
SEPTIC TO BUILDING =SiO'
SEPTIC TO BAST PROPERTY LINE = 66. 9·
'Si<,'P7'!C"l0 '3'Cft'/7'rt 'Pi'<VPi),T
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FIR 5/8" {,t.\7 1\7;'
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LOT 18 BLOCK 29
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99.6' \, i,-- ":i � c 9 LOT 19 �BLOCK, 9 �
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NOTES. PROP£iin, APP£4.RS TO BE SERVICED BY PUBLIC UTILITIES.
ALL BEAR/SGS A.\"D DISTANCES SHOWN ARE RECORD AND AIJ::..4SURED .. UNL£SS OTHERH'/SE SHOWS. r lJ &D £ ... PUBlfC UT/LIT). A.VD DRA1NAG£ E.4.SE.\1£.\T Be.�RJ_\·cs ARE BASED UFOS THE RECORD BE:\Rli\·o FOh' THE HESTERLY RJGHT OF H(-\ r /.}NE OF FORT l'IERCE BOUL£\'ARin.
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111 = .. ,01
FLORIDA BUSINESS CERTIFICATE OF AUTHORIZATION NUMBER LB 6912
JOH ti 1606 r.>05
FJELD DATE· 06/0.1/2016
DRAW;\' BY M.\\".S.
REVISION·
REVJS/(IN
REVJSJU.V.
Rf:VIS/0\1-
REVIS/0.V·
]Know It Now, Inc.
FROFESSl01VAL SUR�'EH1VG A1VD MAPPl1VG
3306 AVIATION BLVD, VERO BEACH, FL 32960
Phone (772) 925-2250