HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '5a 1 Permit Number:
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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
PERMIT TYPE: Garage Door
PROPOSED IMPROVEMENT LOCATION:
Address: 5738 Sterling Lake Drive, Fort Pierce, FL 34951
Property Tax ID #: 1312-502-0157-000-7
Site Plan Name:
Project Name: N/A
Lot No. 407
Block No.
DETAILED DESCRIPTION OF WORK:
Remove & replace 16' x 8' overhead sectional garage door.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical Gas Tank _ Gas Piping _ Shutters Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2,097.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE
CONTRACTOR:
Name Robert L Suggs
Name: Kevin R. Matyjaszek
Address: 5738 Sterling Lake Drive
Company: Excelsior Construction & Roofing
City: Fort Pierce State: FG
Zip Code: 34951 Fax:
Phone No. 772-913-2074
Address: 1882 SE Crowberry Drive
City: Port St. Lucie State: FL
Zip Code: 34983 Fax: 772-618-6660
Phone No 772-418-8809
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail info@excelsiorconstruction.net
State or County License CGC 1521911
If value of construction is 52500 or more, a RECORDED Notice or Commencement Is requireu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 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."
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Signature of (:TwneplAsseeKontractor as Agent for Owner
Signature of Contr Lice a Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Si. Lune
COUNTY OF Sri za.,.Ze
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this as day of 16y 20 /9 by
this _,Ra_ day of Aw20_ Ly by
Name of person making statement.
Name of person making stateme
Personally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
C, A �, "
ej_�Zj
(Signature of ary Public- a b da )CHRYSTALGOMEZ
(Signature of otary Publi t to ��� CHRYSTALGOMEZ
nn �+' Commisslon GG 289550
Commission No.b aibq (Seail}esFebruary
�� �a)
Commisslon # GG 2895
Commission No. s eld�lres February 24, 202
a� 24,2023
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19