HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 16 a'I Permit Number:
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Building Permit Application
Planning and Development Services RECEIVED
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 p GST 2 7 2011
Phone:(772)462-1553 Fax: (772)462-1578 Commercial esidentiaQ
Permitting Depar It.
PERMIT APPLICATION FOR: Window/door G0,ro, a boor St. Lucie Count
yll&k%l
PROPOSED IMPROVEMENT LOCATION
Address: 114 Camelot Dr,Fort Pierce, FL 34946
Legal Description: SHERATON PLAZA-UNIT ONE-LOT 35(OR 189-1280:363-852:3356-2T75)
Property Tax ID#: 1432-801-0038-000-4 Lot No.3-5
Site Plan Name: Cora Willies Block No.
Project Name: Cora Willies
Setbacks Front Back: Right Side: Left Side:
;:DETAILED DESCRIPTION"OF WORK:. -
Furnish & install new 9x7 Haas 2480-series garage door.
CONSTRUCTION INFORMATION: °
itiona wor to e e orme under this permit—check all t a apply:
HVAC ff Gas Tank ❑Gas Piping Shutters Q Windows/Doors
FlElectric ElPlumbing Sprinklers 11 Generator Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$.$970 Utilities:0 Sewer F]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name s Name:.TerranceDeVault
Address: ll4 C w%nzl o A Df Company: Customer's Choice Garage Doors
City:_(-o,t 10i a-C4 State: FG Address: 2807 Okeechobee Rd
Zip Code: 3YA6 Fax: City: Fort Pierce State:FL
Phone No. 56/- 3 rrK- 960 6 Zip Code: 34947 Fax:
E-Mail: Phone No. 772-675-1066
Fill in fee simple Title Holder on next page(if different E-Mail: driett@Live.com
from the Owner listed above) State or County License: SLC 29223
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:Terrance Devauft
Address:114 Camelot or,Fort Pierce,FL 34948 Address:
City: State: City: Fort Pierce State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: ANot Applicable
Name: Name:
Address:21307 Okeechobee Rd 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 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.
Sig ure of Owner/L see/Contractor as Agent for Owner SignarGre of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5�A144 bur-;r COUNTY OF 5'aiyi� Lvcae.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 9_day of ,- 20 by this�_day of 'Sqr 20_ta by
Name of person making statement Name of per/son making statement
,Personally Known�_OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-StatPgJ-;lgrida6 (Signature of Notary Public-Sta aft.rr.!idabavid Timpo>ne
vid Timpone
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Commission No. ��v o •:�. - Commission No. F �;<=� 01,2018
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DEDTHRU
BONDED THRU ,��'�•.,a,;, •`',IST FLORIDA NOTARY,LLC
•u„�•••' 1ST FLORIDA NOTAR%UX
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17