HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 131 ti� Permit Number: I�I 16 - X333
• RECEIV'-:D OCT 13 2017
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
-'PROPOSED-IMPROVEMENT LOCATION:
Address: 7334 Marsh Terr.
Legal Description: Marsh Landing At the Reserve-Phase One-Lot 31 (map33/21 n)(or 4046-372)
Property Tax ID#: 3321-804-0038-000-8 Lot No.31
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 16 x 8 Garage Door Size for size
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC fi Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers FIGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 21 �!3.4) UtilitiesInSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Mark Landers Name: Mitchell O.Pierce
Address:2730 Sandestin Dr. Company Quality Garage Door Services
City: Reno State:NV. Address: 116 S.Park Ave
Zip Code: 89523 Fax: City: Titusville State:Fl
Phone No.505-886-9012 Zip Code: 32796 Fax: 321-264-6399
E-Mail: Phone No. 321-264-6399
Fill in fee simple Title Holder on next page(if different E-Mail: Qualitygaragedoorservices@yahoo.com
from the Owner listed above) State or County License: CRC1329903
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTfON LIEN LAIN INFORMATION ,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Mark Landers Na me:Mitchell 0.Pierce
Address:7334 Marsh Terr. Address: 2730 Sandestin Dr.
City: Reno State: City: Titusville State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:116 S.Park Ave Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 prope y.A Notice of Commencement must be recorded and posted on the jobsite
before the first ins ection. ou intend to obtain financing, consult with lender or ttorney before
commencin w ec r n our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORJDA STATE OF FLO DA
COUNTY OF . U3 i �� COUNTY OFL*A^"hrJ
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
thisL day ofb O+ 20 11 by this day ofN664e 120-Jo by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identificati n
Produced �:L• D\— Produced
°-' IE GIVENS I nature of N to is Sta F r
(Signature of Not . : tate P I�,S1 1 - 93 ► 1�It�bALt
Pr11 SI N#GG o?_2023
EXPIRES: OMMISSIO G 024256
Commission No. �g erls.2o2o Commission No Sea
ed Thni N ry blic Underwriters RES AUg 5t 24,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17