HomeMy WebLinkAboutBuiilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/2/19 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: GARAGE DOOR
Address: 100 RIVERVIEW DR
Property Tax ID #: 4504-601-0006-000-6
Site Plan Name:
Project Name:
REPLACE 10'2" X 7' GARAGE DOOR
NOA # 17-0809.25
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 541.50
_ Generator
Sq. Ft. of First Floor:
Lot No.6&7
Block No.
_C Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
Name GLENN DECARLO
Address: 100 RIVERVIEW DR
City. JENSEN BEACH Stater
Zip Code: 34957 Fax:
Phone No. 772-349-2550
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: DENVER MILLER
Company:D&D GARAGE DOORS OF PSL
Address:435 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No 772-460-7630
E-MailTIFFANY@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.
DESIGNER/ENGINEER: X Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
ev. 2/7/19
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsTLUCIE
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
Theforgoing instrument was acknowledged before me
this day of ��� 120\61( by
this �- day of 20by
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 Pub -State of Flea) TIFFANY SUIT
(Signature of Notary Publi - State of Florida )
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Commission#GG 191421
N, Expires April 26,24
Commission No. �L-��*tv-)
%/�� �r� niit` ?osr;;',�e�, TIFFANY SUIT
2Commission Noc-G- �Ca *ea4mmission#GG1S142
_1rFOBonded Rn Budge. Notary S
. lass ExpIr9S April26, 2022
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ev. 2/7/19