HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLI�ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DJe: q � 1011 Permit Number:
Q Building Permit Application
ing and Development Services
ng and Code Regulation Division
Virginia Avenue, Fort Pierce FL 34982
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Prop i �rty Tax ID 604� - oco - Lot No.
Site [Ilan Name: '-)<f C 6kMVal.f'15 Block No.
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Project Name:
Set `1 : �cks Front Back: Right Side: Left Side:
DE ON_,C1F WORK
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Additional work to bepertormed under this permit -check all apply:
11 HVAC LJ Gas Tank 0Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing OSprinklers ❑ Generator L=1 Roof Roof pitch
Total lSq. Ft of Construction: Sc Ft of First Floor:
Cost i Sf construction: $ Utilities., SewerEl Septic Building Height:
REMESSEE: -CON TRACTOR,
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Nam. LJ_ I VIV Name:
Address: 4-;�01 F_dYc' -or Company: -b—Rn(_'C
City: 1� P4-'_PieAZ e, (--C State: Address:Z2-Db Skk-P V)C4'l-�Ctr6C
Zip Code: 72� Ll 9t Fax: City: Vby-f S-� Statel
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Phor No. . Zip Code:__�'_fcl 1� 3 Fax:
E -K ]i i 1: Ci AM e, evi+ C�P_) JAYA1 C -d VI Phone No."9-01 -Ito21090
Fill iri fee simple Title Holder on next-bage ( if different E -Mail r-r)6enik4o (2vYiq_t
fro4the Owner listed above) State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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S.UPP1LE ME NTAL CONSTRUCTION LIEN LAW.INFOR IVlATION "'-
DESIGNER/ENGINEER:
OR Produced Identija "o
✓
_Not Applicable
MORTGAGE COMPANY:
Name:
Identification Pr
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Name:
Adore
s:
Address:
City:
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State:
City:
Zip:
Phone:
Zip: Phone:
FEE SIMPLE
TITLE HOLDER:
/Not Applicable
BONDING COMPANY:
Name
Name:
Addre
s:
Bontletl Thm
Address:
City:
I
City:
Zip: 1I Phone:
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Zip: Phone:
that no work or installation has commenced prior to the issuance of a permit.
✓Not Applicable
State:
,,/Not Applicable
St. Luci .Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which isl in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structufe. 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 acco dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foil wing building permit applications are exempt from undergoing a full concurrency review: room additions,
access ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impro ements 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
comm nncinp work or recording vour Notice of Commencement.
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Signatuto of Owner/Letsee/Cod,{ractor as Agent for Owner Signature of Contractor/License Hol
STATE OF FLORIDA ��STATE OF FLORIDA
GOUNTYOF ��t l ('tom COUNTY OF �� I i� Cie
The fo rgoing instrum�nt.wa acknowledged before me
thi��{+ryp day-}�o�)fv 1�.�X�i 20 by
l O CAU f� t/�7
(Name I of person adn�o�wll dging%)
(Signal re of Notary Pub " - State of Florida )
The fooing mstru ent s®acknowledged before me
this —day of i"I .20 by
(Name/oaf persoc(ackno4ledging )
(Signatu(re of Notary Public- State of Florida )
Person
Illy Known
OR Produced Identija "o
Personally Known OR Produced Identification
Type ol`
Identification Pr
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racnvco
Type of Identification Produced.
Commission
No.
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MY COMMISSION «FF'.5i'27s
EXPIfi@a`E;`F tember4,2C7
o ..,rye,
Commission No. I `
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McLINl1AWEAFF1
MY, FF 157216
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Beadd Th, Waq Nbic Uneerx z: .
EXIRES: Septemher4 2078
Notary Pobfic Untlenvn;ars
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Revi Idled 07/15/2014
REVIdws FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE II
COMPI ETE
INITIAL
County Certification Number. 29784 Planning & Development services M
Building & Cane Regulation Division
2300 Virginia Ave
Ft Pierce, FL 34962
Phone: (772) 462.1672 Fax: (772) 462-1148
httpl/vm lucieco.orgiplanning/Contract_licen.htm
Duguay, Aldo Joseph R
D -Fence Enterprises Inc
621 Sw Estate Ave
Port St Lucie, FL 34953
Class Code: FENCE
License Type: COUNTY CERTIFICATION
This Competency Card, issued by the St. Lucie County Contractor Certification Division, authorizes
work for the Class Code stated, for the unincorporated areas of St. Lucie County. It does not authorize
work for the City of Ft. Pierce, St. Lucie Village or the City of Port St. Lucie. It is the Contractor's
responsibility to maintain this card in a current status by providing a Certificate of Insurance, current
address and telephone information, and renewing this card annually as required.
Expiration Date: 9/30/2017
Danielle Williams
Contractor ID Card
to fit, then fold in half
--———————————————————————————————————
IDENTIFICATION CARD
ounty Certification Number 29784
'lass Code: FENCE Contractor Licensing: (772) 462-1673
his is to certify that DUGUAY, ALDO JOSEPH R, O -FENCE Contractor Fax Line: (772) 462-1148
NTERPRISES INC has been issued a County Certificate in St. Automated Inspection Line: (866) 284-1280
ucie County, beginning on 7/20/2016 and ending on Inspection Line: (772) 462-2172
130/2017, unless license is revoked.
Danielle Williams
Authorized Licensing Official I
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