HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ 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 IMPROYlMENTl:OCATION:
Address \02\2 � IC� fL-�\
Legal
Description:� =5£- Pr �lf±Z
Lot No. _
Block No. ---
Property Tax ID#:--...--------------------------
Site Plan Name: m� IL YV1 lz...
Project Name:-------------------------------------
Setbacks Front _
DElectric D Generator
O Windows/Doors ri.,
S� of First Floor:
Utilities: LJ Sewer D Septic
State:�
Building Height: _
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
Phone No. 321-636-2829
E-Mail: spacecoast@superiorfenceandrail.com
State or County License: _2_
9
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5
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C0NTRA@TOR: • • �> ·"<',;. ._,
State:£:l-
OWNER./LESSEE:
Name V
Address:.........,.�-\-+-=-i..a,..L!-"""="""""_.L._L....>..,,:..:,..=------
City: £:t:�e'.N'(.,0
Zip Code: ,:2:\{10\ Fax: _
Phone No. _
E-Mail: -----------------
Fi II in fee simple Title Holder on next page ( if different
from the Owner listed above)
Total Sq. Ft of Construction:--------
Cost of Construction: $ 2�
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State:
_ Not Applicable _ Not Applicable
Name: -------------------- Address: ------------------- City:-------------- State:
Zip: Phone:-----------
MORTGAGE COMPANY:
Name: --------------------- Address: ------------------- City:-------------· Zip: Phone: _
_ Not Applicable FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Addres-
s
: _
City:------,------------- Zip: Phone: _
BONDING COMPANY:
Name: --------------------
Address:------------------
City: _
Zip: Phone: _
s
Signature of Contractor/License Holder _ Signature of Owner/ Lessee/Agent
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
com me :ir:i wor or recordin our Notice of Commencement.
STATE OF FLOR�
COUNTY OF �\ 1 1 (1 _Q) <.;, v�
STATE OF FLORIDA
COUNTY OF 3\- U tUV
Th.e f�oing inst�eJl\�owledged before me
this day of V. 20\�by The forgoing instrum_e,t1t "'(as acknowled&ed before me
thi� day of h>J�frobuv,-201(0 . by
Revised 07/15/2014
(Name of person acknowledging)
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DATE
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