HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INF US BE CCOMPLETED FOR APPLICATION TO BE ACCEPTED
Date: , 1 `710tl 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 x
PERMIT APPLICATION FOR: Building
Address:
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
256 Marina Drive Hutchinson Island FL 34949
Coral Cove Beach - Section One
1425-701-0124-000-5
Right Side: Left Side:
Replace (1) W8 -94-16x7 Clopay Model Garage Door
Aaaitlonal worK to De nerTormea
HVAC Gas Tank
11 Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2,014
Lot No. 11
Block No. 5
under this permit — cnecK all tnat apply: I
E]Gas Piping _ Shutters I ✓ Windows/Doors
11 Sprinklers ElGenerator ❑ Roof Roof pitch
SFt. of First Floor:
Utilities:lnSewer []Septic' I Building Height:
Name Alberto Moragues
Address: 256 Marina Drive
City: Hutchinson Island State: FL
Zip Code: 34949 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Paul Kubiak
Company: General Garage Door Co., Inc.
Address: 5710 Columbia Circle
City: West Palm Beach State: FL
Z• C d 33407 F (561)845-2276
ip o an
Phone No.
E -Mail: jenna(
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is
OAS
)844-6145
3ge000r
23256
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
City: State:
Zip: Phone:
Address: I
City: I State:
Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: ( _Not Applicable
Name:
Name:
Address: 1
City: I
Address:
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 yo r erty. A Notice of Commencement must be recorded and posted on the jobsite
before the first in do . If you intend to obtain financing, consult wit�Mi an attorney before
commencing w k r r ording your Notice of Commencement.
s
Signature of ner/ essee/Contractor as Agent for Owner Signature of Co�cLicense Holder
STATE OF FLO A� `��, STATE OF FLZIDA
COUNTY OF �'AkV1 GI1 COUNTY OF PO fr«. Rec-e-k
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I_ day of 20 1-7 by this f day of ��it+'�I 20 ±1 by
wfl b'k b i ekX Co -wt I ► � o�J1�
(Name of person c no edging) (Name of?eSson acow edging )
(i ture of Jotar ublic- State of Florida) (Sigr tWe of Notublic- State of Florida )
Personally Known X OR Produced Identification Personally Known X OIR Produced Identification
Type of Identification Produced Type of Identification Produced
otaa PUe�, 20�� ...,84� JENNA JONES
JENNA JONES
Commission No.FF 00 55 * ( e�Y)COMMISSION # FF 190855 Commission No.Ff / gO �J�S * (,S EX OES:Ja u It 2 , 0855
EXPIRES: January 20, 2019 s EX RES: January 20, 2019
�Nalp pQ�°eBonded Thru Budget Notary Services l9 OF Banded Thru Budget Notary Services
Revised 07/15/2014 I
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