HomeMy WebLinkAboutBuilding ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/97//^ Permit Number:a/ay/y
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
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: ®292 Redcedar Place, Port st. Lucie, FL 34952
Legal Description: l-AKE LUCIE ESTATES PLAT NO. ONE LOT 59 (OR 1240-2937)
Property Tax ID #: 3426-703-0073-000-7
Site Plan Name:
Project Name:
Lot No.
Block No.
Setbacks Front Back:Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and replace 16' X 7' overhead sectional garage door.
CONSTRUCTION INFORMATION:
TV ditional work to be performed under
HVAC I I Gas Tank
Electric □ ng
Total Sq. Ft of Construction:
Cost of Construction: $ 1200.00
his permit - check all that apply:
Gas Piping I I Shutters
Sprinklers □ Generator
Sq. Ft. of First Floor:
Tn. rn
^ Windows/Doors
Roof Roof pitch
Utilities: I I Sewer LJ Septic Building Fieight:
OWNER/LESSEE:CONTRACTOR:
Name Michael & Joann Fuller Name: Kevin R. Matyjaszek
Address: ^292 Redcedar Place Companv: Excelsior Construction & Roofing
Port St. Lucie State:Address: 1882 SE Crowberry Drive
Zip Code: 34952 pgx;Citv: Port St. Lucie state: PL
Phone No.Zip Code: 34983 pgx: 772-618-6660
E-Mail: mjfcorp@aoLcom Phone No. 772-418-8809
Fill in fee simple Title Holder on next page {if different
from the Owner listed above)
E-Mail: kevin@excelsiorconstruction.net
State or County License: CGC1521911
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: t/ Not Applicable
Name:
Address:Address:
Citv: State:Citv: State:
Zip: Phone Zip: Phone:
/
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: </Not Applicable
Name:
Address:Address:
Citv:Citv:
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 wiil authorize the permit holder to build the subject structure
which is in conflict with any appiicable 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 buiiding 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 your Notice of Commencement.
Signature of Leslee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF \vjL.C^\V,
The forg(^g instrument was acknowledged before me
this oi3SSa\/ of rVXccr 20 by
Name of person making statement
Personally Known OR Produced Identification.
Type of Identification
Produced
(Signaturl^ Notary PuFlibv§t^t^J?te|,ida ) CHRYSTALGOJ€Z
o ^ COMMISSION»FF 203322Commission No. v\~ Pf5(t)|RES: Febmary 24,2019
BonJed Thru Budget Notary Senrices
LicenSignature of Contra
STATE OF FLORIDA
COUNTY OF s-V 1 ac i' -g.
The forgmng instrument was acknowledged before me
this 33^av of cJ/\ , 20 by
Name of person making statement
Personally Known OR Produced Identification.
Type of Identification
Produced
£
(Signature of (Notary Public-
T ^2-50 , CIWYSTALGOMEZCommission No. 'TV ^S^OOMMISSION IFF 20332!
\ EXPIRES: Februaty 24,201i
Bonded Ttiru Budget Notary Service
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17