HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED F�
Date: Permit Number: �r U
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Building Permit Application JUL 2 12(n?
Planning and Development Services PER1%ql1-Ti1,1G
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lin
IPOSED 111lIPR(7l/EIEIT LQCATItN r § '
Address: 5806 Bamboo Drive 34982
Legal Description. Indian River Estates-Unit 09-Blk 81 Lot 5
Property Tax ID#: 3402-610-0331-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DE5CRIPTIflNF 1�fC3Rt�
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Remove and haul away existing garage door. Install new 9 X 7 Hurricane Master Model 824 garage
door.
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Additional work toe e orme under this permit—check aMy:
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HVAC Ei Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers FIGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 925.00 Utilities: Sewer Septic Building Height:
Name Jack&Rebecca Bowers Name: DeAnn Prue
Address:5806 Bamboo Drive Company: Doors and More of the Treasure Coast
City: Fort Pierce State:FL Address: 837 S. Kings Highway
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34945 Fax: 772-252-4633
E-Mail: Phone No. 772-409-4501
Fill in fee simple Title Holder on next page(if different E-Mail: deann@doorsandmoretc.com
from the Owner listed above) State or County License: CRC 1331540
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: 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 thepermit 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 our Notice of Commencemen
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Signat a of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ ) �I COUNTY OF_
The for oing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this day of 201�by this day of 20 7 by
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(Name of person acknowledging) (Nam of person acknowledging)��
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(Signatu a of N16tary Public-State'of Florida) igna re of otaryPublic-JTt* of Florida) u,
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Personally Known OR Produced Identification r1 Personally Known ✓ &_:k�ducL4ftdd8XyF,icatiorf Z
Type of Identification Produced r'(_��, Type of Identification Produc�¢9
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Commission No. - ssion No.
r7-77
N S. KIEL EN sion t� FF 11 637.gig ti��a,: mmission Expires ifRevised 07/15/2014 `''' �"'° 2, 20�s
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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INITIALS