HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: la1 \31 Permit Number:41111111111
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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 El
PROPOSED IMPROVEMENT LOCATION:
Address: 117 Queen Christina Ct.
Legal Description: Queens Cove-Unit 2-Blk 21 SWly 15.38 of lot B and All Lot C(orl967-152)
Property Tax ID#: 1414-702-0003-000-0 Lot No.B and C
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 2 ea. 9 x 8 Garage Doors Size for Size
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank F]Gas Piping _Shutters Q Windows/boars
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3�316 • d<3 Utilities:Sewer E]Septic Building Height:
0W N ERAESSE'E: CONTRACTOR:
Name Tom Jarriel Name: Mitchell O.Pierce
Address:117 Queens Christina Ct. Company: Quality Garage Door Services
City: Hutchinson Island State:_ Address: 116 S.Park Ave.
Zip Code: 34949 Fax: City: Titusville State:FI
Phone No.301-909-7885 Zip Code: 32796 Fax: 321-264-7416
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.
RECER"7_D OCT 13 2097
SUPPLEMENTAL CONSTRUCTION LIEN LAW;INFORIVIATION ,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Tom Jarnel Name:Mitchell O.Pierce
Address:117 Queen Christina Ct Address: 117 Queens Christina Ct.
City: Hutchinson Island 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 property.A Notice of Commencement must be recorded an posted on the jobsite
before the first inspec 'on. If you . nd to obtain financing,consult wit I d r an attorney before
commencing work/br/,i`e_qord1ur Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLO DA
COUNTY OF S�. L��re COUNTY OF -pre NJ".
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of O'c.�F 20%-1 by this I V4day of b(: O%Ltr 20 1'1 by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced L L- Produced
(Signature of No StatelWVwN f GIVENS (Signature of Notary Public-State of Florida)
I; MY COMMISSION#GG 022023
Commission No. :9�D PIRES:Ugr16,2020
' dThnlNott��rryy�uu ftUnderwiteM Commission No. LISA A TA LL
MY COMMISSION#GG024256
EXPIRES Au ust 24,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17