HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t 5- Permit Number:
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 X
PERMIT TYPE:
Q« WAg
Address: 224 E ARBOR AVE
Property Tax ID #: 3419-501-0034-000-0
Project Name: SINGH
REPLACE 8X6'9" GARAGE DOOR
Utilities: _Sewer _Septic
Cost of Construction: $ 1686.73
Lot No. 1
Sq. Ft. of First Floor:
Total Sq. Ft of Construction:
Name ESUR SINGH
Address: 224 E ARBOR AVE
City: PORT ST LUCIE State: _
Zip Code: 34952 Fax:
Phone No. 917-518-2449
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: DENVER MILLER
Comoanv: D & D GARAGE DOORS PSL
Address: 435 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
P h o n e N o 772-460-7630
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.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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Signature of Contractor/License Holder
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
COUNTY OF SS
Address:
Address:
The for oing instrument was acknowledged before meydis * No
this day of20 by
City: State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Type of Identification
Address:
Address:
Produced
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.
Rev. 1/9/2019
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID i
STATE OF FLORIDA
COUNTY OF — -C�� _
COUNTY OF SS
The forgoing instrument was acknowledged before me
this 15day of�T0_f'\\_k 20by
The for oing instrument was acknowledged before meydis * No
this day of20 by
Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identification
Personally Known V OR Produced Identification A
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Public- S % f Florida)
(Signature of Notary Public- St to of 59goa )
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Commission No. M--1,0"0060
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REVIEWS
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 1/9/2019