HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-22r19 Permit Number:
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Building Permit Applicat'on
Planning and Development Services ST. LNCip cr unry, Permitting
Building and Code Regulation Division - --- 9
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772),462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT TYPE:
PROPOSED�xI'li/IPROVE IVIlfNT LOCATION.}
Address: 2205 NW SEAGRASS DRIVE, PALM CITY, FL 34990
Property Tax ID#: 4426-805-0001-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED D'ESCRIPTIOPJ OF WORK
REPLACING WOODEN GARAGE DOOR WITH MIAMI DADE STEEL GARAGE DOOR, 18X7, LIKE FOR LIKE.
t '
NSTRUCTION-INFORMATION ry
Additional work to be performed under this permit—check all that apply:,
_Mechanical _Gas Tank _Gas PipingShutters Windows/Doors
_Electric _Plumbing _Sprinklers T Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ C�3 00, 0 0 Utilities: _Sewer _Septic Building Height:
01NNERjLESSEE.,t 'CONTRACTOR. . .
Name DIANA MEI Name:JONI LOPEZ
Address:555 E DANIA BEACH BLVD Company:1 ST CHOICE GARAGE DOORS, LLC
City: DANIA BEACH State:FL Address:1817 SW MILLIKIN AVE
Zip Code: 33004 Fax: City: PORT ST LUCIE State:FL
Phone No.772-336-1885 Zip Code: 34953 Fax:
E-Mail: ` Phone No 772-370-8196
Filtirifee simple Title Holder on next page(if different E-Mail GDOORLADY@YAHOO.COM
,<
from the Owner listen' above) State or County License 28-E�4
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.
'SUPPLEMENT CONSTRUCTION"LIEN L;4W INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
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 thepermit 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN A�i ORKNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
s
Signatur o Owner/Lessee/Contractor as Ag r Owner Signatu a of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA ,
COUNTY OF 5� . mil cue COUNTY OF S-f-_Luc i
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me
thisa+3 day of C4,A?C a� 20 I by this�3 day of Q J Cyt 204 by
JOYS.` l.a z 7�Cavi� Lopez
Name of person maks g statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifiion Type of Identifl�tipn
Produced i)L Produced
IZI
(Signature of Notary PublW State of F (Signature of N 6-S# � S1DN GG 022023
EANNANIARIcGiVENS _ �?
Commission No. 1�+" .td� N#GG 022023 c P ES:Dec.mber 6,2020
ow*moo r 16,2020 Commission No. fru Notary�F�tQl 4denuriters i
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REVIEWS F ING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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