HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l alp
RECEIVED
Building Permit Application
Planning and Development Services
Building and Code Regulation Division SEP B
0i8
2300 Virginia Avenue,Fort Pierce FL 34982 ST• Lucie County, Permitting ,
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resi en
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 9503 S. INDIAN RIVER DR. FORT PIERCE, FL 34982
Legal Description: 19/20 36 41 S 100 FT OF N 651 FTOF S 1/2 OF SE 1/4 OF SEC 19 LYGE OF FEC RR RM AN[
100 FT OF N 651 FT OF FRACT SEC 20 (1.44AC)(OR 3451-2267)
Property Tax ID#: 3519-441-0005-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL 2-10 X 7 DAB#824,WHITE GARAGE DOORS.
CONSTRUCTION INFORMATION:
Additional work to be Derformed under t ispermit—check all appy:
HVAC Gas Tank E]Gas Piping Shutters ✓❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: 140 S . Ft. of First Floor:
Cost of Construction: $ 3,092.00 Utilities:ll Sewer F]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JOHN SNYDER Name: FRED MAFERA
Address:9503 S INDIAN RIVER DR. Company: AMERICAN PALM BCH GARAGE DOOR
City: FORT PIERCE State:FL Address: 2201 SE INDIAN ST., H2
Zip Code: 34982 Fax: City: STUART State:FL
Phone No.772-800-7934 Zip Code: 34997 Fax: 561-844-7184
E-Mail: Phone No. 561-844-6516
Fill in fee simple Title Holder on next page(if different E-Mail: MAFERAW@AOL.COM
from the Owner listed above) State or County License: 4665
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 COMPANY- _ Not Applicable
Name: JOHN SN Name:FRED MAFER
Address:9503 S.I DI IV D T PIERCE,FL 34982 Address: 9503 S IN R DR.
City: FORT PIERC State: City: STUART State:
Zip: Phon Zip: o
FEE SIMPLE TITLE O ER: _Not Applicable BONDING COMPANY: Not Applicable
Name: K tkry Name:
Address:2201 SE SkAl SIL H1k Address:
City: Im I I I City:
Zip: I Pon Zip: ho
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 po�ted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an Attorney before
commencinp,work or recording our Notice of Commencement.
Signature of Ow r/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 14 day of SEPTEMBER 20_ by this 14 day of SEPTEMBER 20_ by
JOHN SNYDER FRED MAFERA
Name of person making statement Name of person making statement
Personally Known sonally Known X OR Produced Identifi a i
Type of Identification AUTUMN BRYNNTRIMALDI a of Identification
Pro uced FLDL = gg # 227 du d <�'YD AUTUMN BRYNN TRI
tuber 16,2022
,; MY COMMISSION#GG
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'•,r P,. D(PIRES:S./e�pte '� �• P; E:?IRES:September 16,�0
Barded TAN N,..,.'7 Pubk umer o ra BW1CaC TAN Notary Public I Wo iwS
(Signat re of NsYary Public-State of Florida ) (Signature of Ndfa ub c-State of Florida)
Commission No. (Seal) Commission No. (Seal)
i
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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