HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: D®� 0v
RECEIVED
Building Permit Application
Planning and Development Services MAY 0 2018
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 t Lucie County
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox,.click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7269 Reserve Creek Dr Port St Lucie FI 34986
Legal Description: RESERVE CREEK PARCEL 4 LOT 6 AND THAT PART OF SEC 22-36-39 ADJ ONW MPDAF:
BEG AT SWLY COR LOT 6 PARCEL 4 RESERVE CREEK SID RUN S89 DEG 52 MIN 08 SEC W
Property Tax ID#: 3322-601-0007-000-2 Lot No.6
Site Plan Name: Block No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING 16 X 7 AND 9 X 7 GARAGE DOORS,WITH NEW DAB 16X7 AND 9X7 GARAGE DOORS
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CONSTRUCTION INFORMATION:
Additional work to be performedunder this permit—check all t=appy:
HVAC I_J Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 2100 Utilities:nSewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameBryant H Melton Name: Bruce Kinkade.
Address:7269 Reserve Creek Dr Company: A CHAMPIONS GARAGE DOORS INC
City: Port St Lucie State:FL Address: 544 SW Laconic Ave
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No. Zip Code: 34953 Fax:
E-Mail: Phone No. 772.871.5550 772.528.4493
Fill in fee simple Title Holder on next page{if different E-Mail: CHAMPIONDOORS@COMCAST,NET
from the Owner listed above) State or County License: 20349
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPAN Not Applicable
Name:Bryant H Melton Name:Bruce Kinkade
j Ad d ress:7269 Resai<e Cr r Port St Lucie Fl 34986 Address: 7269 Respfe Creek Dr
j City: Port St LUPK State: City: Port St LuciK State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLD _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:544sw onicAve Address:
City: City:
Zip: Pho e: Zip: Phone:
t
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
wor ecording our Notice of Commence
Signature of Owner/Lessee/Contractor as Agent f Owner, Sign Contractor/License Holder
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STATE OF FLORIDA - $ STATE OF FLORIDA =LL
COUNTY OF LL� COUNTY OF
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The forgoing instrument was acknowledge efor N The for oing instrument was acknowledge bef
this day of 20� by �. w 2 this day of 20b '¢"o�
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Na erson making statement m Na rson making statement
Personall nowri OR Produced Identifica "� `"�G: Personall nown OR Produced Identifi °
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Type of lde ationType of I ion,
Produced " %%::,a Produced
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(Signature of tary Public-State of Florlida V (Signature of NcVry Public-State of Florida)
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Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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