HomeMy WebLinkAboutEverly Permit Application 12.20ALL 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 l�f;lHOVEM'E�T LOCATION:
Address: C
Legal Description: \ nchan f:\VE,k �s. ,tad g
Property Tax ID#:---------------------------
Site Plan Name: \\J\� wj� Project Name: Ml(� E\if
Setbacks Front Back:�ht Side: Left Side: _
WdR'k:
Lot No. <q- l4
BlockNo. �
CONSTRUCTION INFOR�'ATION:
D Windows/Doors
DRoof
Shutters
D Generator
er t rs permit - c
DGas Piping D Sprinklers
itiona wor to
DHVAC
DElectric
Total Sq. Ft of Construction: _
Cost of Construction:$ _\+
,
C\ ........ �__,_4-4-- _
S'}-£.!; of First Floor:
Utilities: LJ Sewer D Septic Building Height: _
OWNER/LES5E,E: CONTRACTOR:
State: rt- �:::}&���
City: H::¥\()---C()
Zip Code: (,S4�1... 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: FL
Zip Code: 32935 Fax: 321-638-0086 ------- ------
Phone No. 321-636-2829
E-Mail: spacecoast@superiorfenceandrail.com
State or County License: _2_
9
5_8_9 _
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
_ Not Applicable
Name: _
Address: ------------------- City: State:
Zip: Phone:-----------
SUPPLEMENTALC®NS"t.RtlCTl@N LIEN LAW INFDRMATION: ,}/ '>ns+-,. . , .. ,.,,.,>t .. ,. - ._.,_,. - - ,
Name: -------------------- Address: ------------------- City:-------------- State: Zip: Phone: _
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:
_ Not Applicable
Name: _
Address: _
City: _
Zip: Phone: _
FEE SIMPLE TITLE HOLDER:
Name:-----·--------------- Address: -------------------
City:-------------------- Zip: Phone: _
BONDING COMPANY: _Not Applicable
STATE OF HORD\\ M [ COUNTY OF LJ ) STATE OF FLORIDA
COUNTY OF ,D:\:: \,\,U),,Q)
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
commencin work or ecordin our Notice of Commencement.
The f9-'j;
.
C oing instn)J'ent was acknowledgl� �efore me
this� day of LO 1Y) be ,V', 20 1.W-by
The f9L9oing instrum� was acknowledged before me
this 1::1 day of (.,, , 20 ll4- by
Personally Known OR Prod��dentification--)(,._
Type of Identification Produced __ :t�
:
1-�
�
--------
�IE BROOKS
MY COMMISSION II FF 217128
;<!>.°· EXPIRES: ril 5, 2019
Revised 07I15/2014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
;<)
.;
.·,� -�-.
.__; ,._ ,.
1 0 -�-= i :
-c
0 ,�
,2s;·5 I
(0
o �
'"' � lo
I"' u
I z 0 ��u
JI 1� µ.:
s:
0
,5S"6 0 - r-, st a::
0
(J) co co
<D z ;;:; w (/) '° N
,J ;
t!.1 > a: 0
o z 0 o
'!')
,.00,£1000 N
I
t- o .
'-'
m sr l e 010 I ,, ��-B�S_tr_:_
�
,_�_
)
�
,
o_o_
·
_
·
o_s���-M_;._,._o_o_,�£-
!
_
o
_O_O�S��
�
--=:�·r·�---������
Ii I r
I i;:
j <'{ ! _J
·ll:
sr: l< t a:
0
..... ,...,
I I I
(.L'v'1d -a s113vn .ooos
u, -_ 0
,..,. ID - CJ') .... t<) • Cl)
� 0 - a:Nw (/)
0
,<)
(Mf):J .09) --- HO :3:)m:!dS
�
�
o «
LL Z
. -
(d} .00'09£
l
�
-
·
-·