HomeMy WebLinkAboutCompleted Building ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Sll^in 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; Window/door
PROPOSED IMPROVEMENT LOCATION:
Address- Eagle Drive, Fort Pierce, FL 34951
Legal Description:HOLIDAY PINES S/D-PHASE ll-B- LOT 242 (MAP 13/13N) (OR 1450-2632)
Property Tax ID #:
Site Plan Name: _
Project Name:
1312-801-0045-000-7
Lot No.
242
Block No.
Setbacks Front Back:Right Side:.Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and replace 16' X 7' overhead sectional garage door with new Haas Door.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check ail that; apply:
HVAC I Gas Tank Gas Piping Shutte
Electric □J Plumbing Sprinklers
rs
Generator
^ Windows/Doors
Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ ^>^50.00
Sq. Ft. of First Floor:
rnUtilities: j j Sewer L_l Septic Building Fleight:,
OWNER/LESSEE:
Name'^^'^'^y Bennett
CONTRACTOR:
Addreili^STagleTimre
Fort PierceCity:
Zip Code: Fax:Phone NO.772-461-7717 "
State:FTT
F-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name- ^^®vin K. Matyjaszek
Company- ^^<^®'sior Construction & Roofing
Address- 1882 SE Crowberry DriveCity: PoViai LUCie stetTfTT'Zip Code: ^4983
772-418-8809
772^18-666(r
Phone No.
F-Mail- kevin@excelslorconstruction.net
State or County License:0001521911
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCpON LIEN LAW INFORMATION:
\j Not ApplicableDESIGNER/ENGINEER:MORTGAGE
N ame:
Ad d ress:
City:
Zip:Phone:
State:
COMPANY:
Name:
Address:
City:
Zip:Phone:
-x Not Applicable
State:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip:.Phone:
\j Not Applicable BONDING COMPANY:
Name:
Address:
City:
Zip:Phone:
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
commencing work or recording your Notice of Commencement.
Signature of Ownei^jfessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this Ian dav of Mm , 20 11 by
Signature of Contragfbi^Liceilse Holder
STATE OF FLORIDA .
COUNTY OF S-/. LurJe
The forgoing instrument was acknowledged before me
this ISjUdsN of May , 20 f 7 by
(Name of peffson/acknowfetfgip'g i '
of NotaryTublic- State-df Florida
Personally Known
/K.
(Name of pe^n acknowl
i^natqr^of Notary Pubifc- State^oH^lor'i^
OR Produced Identification
Type of Identification Produ
Commission No. Ff tSSll?
A
—LYNNA.SWARTZEI
ijY COMMISSION if FF 935178
^RES: January 30,2020
Bonded Thni Notnn,' Public Mnderwritefs
Personally Known
■ype of Identification Produc
iommission No. PF'?55/7^
^—EXPIRES: January 30. 2020Bonded Thni Notary Public Underwriters
(LicbI)'
Revised 07/15/2014
REVIEWS
DATE
COMPLETE
INITIALS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW