HomeMy WebLinkAboutBuilding Permit ApplicationALL 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
PROPOSED IMPROii:MENr'LOCATION: ·,., ,. ' . �
Address Q]�� . -ft- V)er-c.,e . PL 34\'SI
Legal
Description:= =s· '1 off4a?J I
Property Tax ID#: 7""'!"=------------,----------------
Site Plan Name: , JhblJ) Q \'\J\'t:ovd I
Lot No .. _
Block No. _
Project Name:
Setbacks Front _
I DET�!,LED 0g�cR1,pt
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DElectric
app y:
Shutters D Generator
D Windows/Doors
ORoof
Phone No. 321-636-2829
E-M a i I: spacecoast@superiorfenceandrail.com
State or County License: _2_
9
5_8_9 _
State: FL
Building Height: _
� CGNTRACif'.OR -::c·'·'·c.:;ct,;%, ,·'·"·· -:.; -- , ·;,r
Name: Todd Paroline
Company: Superior Fence and Rail
Address: 2778 N Harbor City Blvd #102
City: Melbourne
Zip Code: _3_
2
9_3_5 Fax: 321-638-0086
S� of First Floor:
Utilities: LJ Sewer D Septic
Name--->.c
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Address: 5�5,,�y\!f'v\ \_C\.\::J>1:})r
City: �G v J State: a
Zip Code: �\ Fax: _
Phone No. _
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Total Sq. Ft of Construction:
Cost of Construction:$ �26
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
_ Not Applicable
Name: -------------------- Address: _
City: State:
Zip: Phone:------------
.. ;�S]tJU(;ilO�.UtN LAW INFGRMATl8Nk
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DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:
Name: -------------------- Address: _
City:---------------- State: Zip: Phone: _
SUP PJ.EME N:itA ' -. -·.. . ·&:.
_ Not Applicable
Name: _
Address:------------------ City: _
Zip: Phone:-------------
FEE SIMPLE TITL.E HOLDER:
Name: ---------------------- Address: ------------------- City:------------------- Zip: Phone:
BONDING COMPANY: _Not Applicable
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 mencin work er record in our Notice of Commencem t.
STATE OF FLORID� I COUNTY OF A,,\ W,_...,
STATE OF FLORIDA .<:::'.\..L. f o , r- , ,.. � COUNTYOF ��_,'v\A..
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The f�ing instrul)mnowledged before me
this day of Y, 20 �by
The forgoing instrument was acknowledged before me
this I day of hQ\J . , 20 \J.L2. by
(Name of person acknowledging )
Personally Known OR Produced Identification __k_
Type of Identification Produced __ FL,:
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(Name of person acknowledging)
Personally Known � OR Produced Identification _
Type of Identification Produced. _
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REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
NOTICE OF COMMENCEMENT
ST A TE OF Florida
COUNTY OF -BreWl'Nt" Sf- \..M. LA&'.
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement.
I.
2.
3. Owner information:
a. Name and address:
b. Phone number:
c. Name and address of fee simple titleholder (if other than owner):
4. Contractor:
a. Name and address: Superior Fence and Rail of Brevard County, Inc. 2778 N Harbor City Blvd, Ste 102, Melbourne, FL 32935
b. Phone number: _
3
_
2
_
1
_
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6_3_6_-_2_8_2_9 _
5. Surety:
a. Name and address: n/a
b. Amount of bond $ n/a c. Phone number: n/
6. Lender:
a. Name and address:
b. Phone number: n/a
7. Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 7
Florida Statutes:
a. Name and address: ...::n-"/...,,a,..._ _
b. Phone number: ....,n--'--'--"'-----------------------
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13,
Florida Statutes:
a. Name and address: n/a
b. Phone number: n/a
9. Expiration date of notice of commencement (the expiration date is one (I) year from the date of recording unless a different date is spec.
n/a
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMM!
ARE CONSlDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CJ
IN YOUR PA YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECO
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECT! IF YOU IN;fEND OBTAIN FINANCTNG, CONSULT Vv
LENDER OR AN ATTORNEY BEFORE COMMENCING WOR CORDING YO OTICE OF COMMENCEMENT.
Personally Known_____ 0�1_uced Identification
Type of identification produced ---�
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Sigiianire o Notary Public - State of orida
Print, type. or stamp commissioned name of Notary Public
iorized Officer/Director/Partner/Manager
Signatory's Title/Office _ON'(\
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\:' The foJfgoing ins':rnent was acknowledged before me this 29l day �f CbtQa.k ,Li) lLP by .r.t))j]\ Q.� \l\l !J...D\.!JS(A (name of person) as QJ..J\Qv: (type of authority, ... e.g.
officer, trustee, attorney in fact) for__ . (nam o rty on b half of whom instrument was executed).
Under penalties of perjury, I declare that I have read the foregoing and true to the best ofmy knowledge and belief.
Pl< J ERU . ,· L.
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