HomeMy WebLinkAboutBuilding Permit Appliction V
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SttP�MN1iL CON5fiR,l �7ItN LII sLAIU INStMATIQN�•
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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 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 recoXding your Notice of Commenceme t.
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Signatur o Owner/Lessee Contractor as Agen c? kFlwfne Signature of ontractor/License Holdle ;k
;rSTATE OF FLORIDA 0' STATE OF FLORIDA°COUNTY OF COUNTY OF� ox� mThe fo omg ins nt was acknowledged b )g C3 The forgoing instr ent was acknowmthis (day of 20 o ins this [day o O md I A � ��✓
(Name of person acknowledging) co (Name of person acknowledging)
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(Signature of Not r Pu ic-State of Florida) (Signature of Notary P ic-State of Florida)
Personally KnownQR Pre aced Identification'/ Personally Known ORP ced Ide ificatioi e_
Type of Identification Produced Type of Identification Produce
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: X3 Permit Number:
RECEIVED
Building Permit Application JUL 3 1 2017
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: To Select from dropbox, click arrow at the end of line
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Address: 13939 Indrio Road Fort Pierce, FL 34945
Legal Description: 18 34 39 NE 1/4 OF NE 1/4 OF SE 1/4 AND S 38 FT OF SE 1/4 OF SE 1/4 OF NE 1/4 AND E 175 FT OF NW 1/4 OF NE 1/4
OF SE 1/4 AND E 175 FT OF S 38 FT OF SW 1/4 OF SE 1/4 OF NE 1/4
Property Tax ID#: 1318-144-0001-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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CETAILED;DIWSCRIPTION C?FW{JRC k y
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Remove and haul away existing garage door. Install new 10 X 7 DAB Hurrican Master Model 824
steel garage door, Miami-Dade approved impact resistant.
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e�1im-W`L.,F„_ <,1,.'F�,... ?�Q3"., x A,1 r➢...3 D .t3'.<:.Y%e-n. .. .. ro�. ...,
.sz seams r � a . . ,, �_, ,�c sh � ,.,__ ,:� ..� '
Additionalworkto e e orme un er t is permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1737.00 Utilities:cn Sewer Septic Building Height:
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E� CONTRACTOR. �fr z' _ 5 0 3 4
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NameEdgarA.Brown Name: DeAnn Prue
Address:13939 Indrio Road Company: Doors and More of the Treasure Coast, Inc.
City: Fort Pierce State:FL Address: 837 S. Kings Highway
Zip Code: 34945 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.