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HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/28/18 Permit Number: 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 Name CAROLYN PATTON Name: DENVER MILLER Address: 6006 PALM DR Company: D & D GARAGE DOORS PSL City: FORT PIERCE State: FL Zip Code: 34982 Fax: Phone No. 772-465-9320 Address: 435 NW ENTERPRISE DR City: PORT ST LUCIE State: FL Zip Code: 34986 Fax: Phone No. 772-460-7630 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: TIFFANY@DDGARAGEDOORSPSL.COM State or County License: 19007 Address: 6006 PALM DR Legal Description: INDIAN RIVER ESTATES Property Tax ID #: 3402-609-0579-000-1 Site Plan Name: Project Name: Setbacks Front Back: REPLACE 16X7 GARAGE DOOR NOA # 17-1018.12 HVAC ❑ Electric Right Side: Left Side: ❑ Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 1614.00 LJ Shutters Generator Sq. Ft. of First Floor: _ Utilities: Sewer 11Septic Lot No. 9 Block No. 68 Windows/Doors Roof Roof pitch Building Height: \4 ,Y x �A` ■/� }}qi jMH�! �a �'� �4� n Name CAROLYN PATTON Name: DENVER MILLER Address: 6006 PALM DR Company: D & D GARAGE DOORS PSL City: FORT PIERCE State: FL Zip Code: 34982 Fax: Phone No. 772-465-9320 Address: 435 NW ENTERPRISE DR City: PORT ST LUCIE State: FL Zip Code: 34986 Fax: Phone No. 772-460-7630 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: TIFFANY@DDGARAGEDOORSPSL.COM State or County License: 19007 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Name:_ Address: City: _ Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: 435 NW ENTERPRISE DR City: Zip: Phone:_ x Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: State * Not Applicable City: State: Zip: Phone: BONDING COMPANY: `Not Applicable Name: Address: City: 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 Your Notice of Commencement. Rev. 8/2/17 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF sT LUCIE The forgoing instrument was acknowledged before me thisQ% day of ��)�E°� , 20Z by The forgoing instrument was acknowledged before me this QS day of 1�}�av�n 20 (b by DENVER MILLER DENVER MILLER Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- Slate of��g�d a) TIFFANY SUIT11 (Signature of Notary Public- S to of Florida ) ��e TIFFANY SUIT Commission N * eel)COmmissW#GG 191 . NTr Expires ApriI26,2022 t I ``al "'0 2Lommission No � C No,,.... `eI Commission#GG1 Expires April 26, 2 \04 FOf o) FIOa` 8orked T1kU BudgetNotary S �TFof rL11 Bonded Thru Budget Nom'! REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 6006 PALM DR Sec/Town/Range: 11/36S/40E Map ID: 34/11S Zoning: RS -4 Ownership William R Patton Carolyn S Patton 6006 Palm Dr Fort Pierce, FL 34982 Legal Description INDIAN RIVER ESTATES -UNIT -08- BLK 68 LOT 9 (MAP 34/11S) (OR 287-2755;3437-471) Current Values Just/Market Value: $145,200 Assessed Value: $68,088 Exemptions: $43,088 Taxable Value: $25,000 Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF Parcel I D : 3402-609-0579-000-1 Account #: 38079 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,791 Gross Area (SF): 3,558 Land Size (acres): 0.23 Land Size (SF): 10,000 This information is believed to be correct at this time but it is subject to change and is not warranted. Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved. https://www.paslc.org/RECard/ 11/28/2018