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Home My WebLink AboutCompleted Building Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED . /.g1iD Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application Commercial Residential J PERMIT TYPE: Garage Door Replacement PROPOSED IMPROVEMENT LOCATION: Address: 6210 Lilyan Parkway, Fort Pierce, FL 34951 Property Tax ID #: 1301-609-0025-000-7 Lot No. 1 Site Plan Name: N/A Block No. 3 Project Name: N/A DETAILED DESCRIPTION OF WORK: Remove and replace overhead sectional 16' X 7' garage door. 'UCTION""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: $ 1,630.00 Utilities: —Sewer —Septic Building Height: OWNERAESSEE: Name Suzanne C Gaskill CONTRACTOR: Name: Kevin R. Matyjaszek Address:.6210 Lilyan Parkway Company: Excelsior Construction & Roofing Address: 1882 SE Crowberry Drive City: Fort Pierce State: _ Zip Code; 34951 Fax: Phone No. 772-475-1117 E-Mail: S.Gaskill@aol.com City: Port St. Lucie State: FL Zip Code: 34983 Fax: 772-618-6660 Phone No 772-418-8809 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 $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. SUPPLEMENTAL CONSTRLICI"ION LIEN LAIN 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: Applicable _Not 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 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 structure. Please restrict or prohibit such 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 the Florida Building plans, 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." ALI Signature of Ow essee ontractor as Agent for Owner Signature of Contracto�seHol STATE OF FLORIDA COUNTY OF_ S� Luc, STATE OF FLORIDA COUNTY OF_ $¢, The for oing instrument was acknowledged before me this � day of �uic� 20-a by The forgoing instrume t was acknowledged before me this day of Q 20 C by 4W11;V Name of person making stat tKent. Name of person making state nt. Personally Known ✓ OR Produced Identification Type of Identification Personally Known ✓ OR Produced Identification Produced Type of Identification Produced (Signatur f Notary Pu lic- c tia�,f�lorida tHRYSTALGOMEZ r .•• •. (Signa ure o otary Publ c- tate ida ) CHRYSTALGOMEZ Commission # GG Z89550 Commission No.( �r�sFebruary24,2023 ��• CommIsslon#GG289550 Commission No. sS (59$1)esFebrua �r o. 71 A Bonded Thru Budget Notary $of$$ 24 c ry , 2023 �OF f1.�Q Bonded 71xu Budget Notary SeMcp REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.