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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/3/17 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: Window/door d� _.....,...,.zT .,5" oe✓ >rF . �.....: „i.3, r�ow..:.,s sed - sa, rz. � "*rc ......� z :......_... ...._... Address: 210 ONE JARDAIN RD Legal Description: RIVER PARK UNIT 9 PART B Property Tax ID #: 3419-565-0025-000-2 Lot No. 19 Site Plan Name: Block No. 73 Project Name: Setbacks Front Back: Right Side: Left Side: nes' O.Y ii �.+:wil 1101 USONv' . ,r firo . TEAR OUT AND REPLACE 10X7 GARAGE DOOR M-1 ci \ Orme un ert ispermit—c ec a appy: Additional worK to ff ❑HVAC Gas Tank Gas Piping_ Shutters Q Windows/Doors 11 Electric ❑ Plumbing Sprinklers 11 Generator E]Roof Roof pitch Total Sq. Ft of Construction: Sq.of First Floor: Cost of Construction: $ 2206.00 Utilities: L _I Sewer 11 Septic Building Height: i J � Name JEFFREY SMITH Name: DENVER MILLER Address: 210 NE JARDAIN RD Company: D&D GARAGE DOORS PSL City: PORT ST LUCIE State: FL Address: 435 NW ENTERPRISE DR City: PORT ST LUCIE State: FL Zip Code: 34983 Fax: Phone No. 772-249-6266 Zip Code: 34986 Fax: E -Mail: Phone No. 772-460-7630 Fill in fee simple Title Holder on next page ( if different E -Mail: TIFFANY@DDGARAGEDOORSPSL.COM State or County License: 19007 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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 our Notice of Commencement. r s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instr ment was ac nowledged before me this f day of 2� '' 20 �_) by DENVER MILLER` (Name of person acknowledging ) (Signature of Notary Public- state of Florida ) Personally Known x OR Produced Identification Type of Identification Produced �°s P'aue Commission NO. FF101474 al TIFFANY A. LEE �Y COMMISSION i; FF 1U EXPIRES: Axil 96 pi 1KeviseQ v// 1 J/ /_u 14 STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instrument was acknowledged before me this � day of '�1�(�l,.3.w� , 20 l� by DENVER MILLER (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced Commission No. FF101474 t�Rv'ue(Seal) TIFFANY A. LEE r2s' t MY COIv9h41SSi0N IF FF 101474 Bonded Thru Budget Notary Services REVIEWS FRONT NbDESIGNER/ENGINEER: SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: REVIEW Name: REVIEW DATE Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 recording our Notice of Commencement. r s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instr ment was ac nowledged before me this f day of 2� '' 20 �_) by DENVER MILLER` (Name of person acknowledging ) (Signature of Notary Public- state of Florida ) Personally Known x OR Produced Identification Type of Identification Produced �°s P'aue Commission NO. FF101474 al TIFFANY A. LEE �Y COMMISSION i; FF 1U EXPIRES: Axil 96 pi 1KeviseQ v// 1 J/ /_u 14 STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instrument was acknowledged before me this � day of '�1�(�l,.3.w� , 20 l� by DENVER MILLER (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced Commission No. FF101474 t�Rv'ue(Seal) TIFFANY A. LEE r2s' t MY COIv9h41SSi0N IF FF 101474 Bonded Thru Budget Notary Services REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 210 NE JARDAIN RD Sec/Town/Range: 28/36S/40E Map ID: 34/28N Zoning: RS -4 Ownership Jeffrey C Smith 210 NE Jardain RD Port St Lucie, FL 34983 Legal Description RIVER PARK -UNIT 9 -PART B BLK 73 LOT 19 (MAP 34/28) (OR 1121- 2341: 2336-2764) Current Values Just/Market Value: $53,100 Assessed Value: $40,728 Exemptions: $0 Taxable Value: $40,728 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 Parcel ID: 3419-565-0025-000-2 Account #: 43387 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 912 Gross Area (SF): 1,239 Land Size (acres): 0.2 Land Size (SF): 8,800 This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved. http://www.paslc.org/RECard/ 8/3/2017