HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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: Window/door
PROPOSED IMPROVEMENT LOCATION:
5800 Silver Oak Drive. Fort Pierce. FL 34982
Huuf CSS:
Legal Description:
INDIAN RIVER ESTATES -UNIT 06-BLK 21 LOTS 13 AND 14
I,
(MAP 34/11 N) (OR 2628-2377)
Property Tax ID #: 3402-607-0216-000-3 Lot No.13 & 14
Site Plan Name: Block No. 21
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and replace overhead 16'X 7' sectional garage door.
CONSTRUCTION INFORMATION:
Additional work to MGasTank
r orme un er t is permit- c ec a appy:
HVAC []Gas Piping _ Shutters Q Windows/Doors
Electric ElPlumbing 11 Sprinklers Generator a Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1945.00
SFt. of First Floor: _
Utilities:] Sewer 0 Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Uavid & UarolWiles
Name: Kevin R. Matyjaszek
ver a Drive
Address:
Company: xce slot Onstruction & Roofing
Company:
city: Fort Pierce State: FL
Address: 1882 SE Cro_w1_e_r_ry_D_ri`ve
_
Zip Code: 34982 Fax:
City: Port St. Lucie State: FL
Phone No. 772-528-0792
Zip Code: 34983 Fax: 772-618-6660
772-418-89-0-9
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
E -Mail: kevin exce slorconstruction.net
from the Owner listed above)
State or County License: CG -C15 1 911
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION`:
DESIGNER/ENGINEER: — Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordiniz vour Notice of Commencement.
Signature of Ow y essee/ont_ racto�as Agent for Owner
STATE OF FLOR e
COUNTY OF
The forgoing instrum nt was acknowledged before me
this E_71�day of p 2%' l , 20 I-1 by
C V affg�&
Narbe of, ersQb acknowledgfing7li77 '77
re of Notary Public- Sate of Florida )
s
Signature of Contract6fXicense ffolder
STATE OF FLORIDA ���
COUNTY OF
The forgoing instrum nt was acknowledged before me
this
'2--
this (J(Z� i ,20 j-1 by
e of
re of Notary Public- State of FI"orida )
Persohally Known \�'/ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ? LYNN A.SWAR EL ion No. �Y
MY COMMISSION # F1 935178 I; LYNN A
0
u =+r a :a: MY COMMIS:
Bonded Thru Notary Public Underwriters
Revised 07/15/2014
Bonded Thru Notary Public
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
35178
2020