HomeMy WebLinkAboutBuilding PErmitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICA71ON TO RE ACCEPTED
Date: 28 Feb 2019
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 349982
Phone; (772) 462-1553 Fax; (772) 462-1578
Permit Number:
Building Permit Application
PERMIT TYPE: Garage Door
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential X
Address: 1107 Driftwood Lane Fort Pierce FL 34982
Property Tax ID #: 3404-808-0012-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 16 X 7 Garage Door
CONSTRUCTION INFORMATION:
Lot No. 12
Block No.
Additional work to be performed under this permit– check all that apply:
_Mechanical — Gas Tank _ Gas Piping — Shutters _ Windows/Doors
Electric
Total Sq. Ft of Construction:
Cost of Construction: $
Plumbing — Sprinklers _ Generator — Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name William C Eason ET AL
Name. Evan Weilage
Address: 1107 Driftwood Lane
Company: Coastal Garage Door
City: Fort Pierce State:
Zip Code: 3'4`382 Fax: T
Phone No.
Address: 601 SW Hillsboro Circle
City: Pt St Lucie State: FL
Zip Code: 34953 Fax:
Phone No 772-812-7023
E -Mail:
Fill in fee simple Title Holder on next page [ if different
from the miner listed above)
E-Mailecoastaidoors@aol.com
State or County License2723$
IT value oT construction Is $Z500 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
I�ESiGNER/ENGINEER: � Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
Name:
Applicable
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: � Not Applicable
BONDING COMPANY: Not
OWNER/ CONTRACTOR AFFID'VIT: 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 Home
conflict with any applicable 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 5t. 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 NPROVEMMS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SFFE BEFORE THE FIRST INSPECTION. W YOU INTEND TO OBTAIN FINANCING: CONSULT
"ITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
r�
Contractor as Agent for Owner
Signature of OwnerrA
Signature of Contractor/Li se Molder
STATE OF FLQRI
STATE OF FLORIDA
COUNTY QF
COUNTY OF .'�-z_,� „�
The forgoing instrument was acknowledged before me
this � day of 20j�, by
The forgoing in ruru$!ent was acknowledge before me
this � day of =.,:� by
Name of person making state t.
Personally Known i, E)R Produced Identification
Name of person making
ost�ate nt.
Personally Known `� CtR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
`e��4`�Y.PUaI,�, FRAu'�GES4'.,00
"`�ignature of Notary lic-State of Florida
U u?uus3 -
mession No. w- (Seal)
ry �eealces
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{Signature of Notary u lic- State of Flo�idf;��' FRaNGEs V..l
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Commission No. �[� i� EXPIRES: Gc,ab2r
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PIANS
REVIEW
VEGETATION
REVIEW
SEAi'tJRTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev-
Name:
Name:
Applicable
Address:
Address:
City:
.._ ....,_
City:
Zip: Phone:
Zip: Phone: