HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
11/18/2019 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 .
PERMITTYPE: Building
PROPOSED I;MPROVEMiENT: LOCATLOM
Address: 7704 Hibiscus Rd. Fort Pierce, FI 34951
Property Tax ID #: 1301-605-0215-000-4
Site Plan Name: Lakewood Park
Project Name: Foster
DETAILED DESCRIPTION OF WORK-.,
Replace 16 x 7 Garage Door Size for Size
Lot No.15
Block No. 48
C0 STIR.UCTI,O'NIIIN1F'ORM"AllLON:,. h.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,869.00
_ Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer Septic Building Height:
OWNER/LESSEE;
i' CONTRACTOR:' '
NameJon Foster
Address:7704 Hibiscus Rd.
Name: Mitchell O. Pierce
Company:Quality Garage Door Services
Address:1429 Chaffee Dr. suite 1
City: Titusville State: FI
Zip Code: 32780 Fax. N/A
Phone N0772-232-7019
E-Mail qualitygaragedoorservices@yahoo.com
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 772-332-2715'
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County LicenseCRC1329903
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.
SUIPPLEIVIENTAL,CON'STR'UCTION! IIE:NFLA,FN'IMN)F'ORMATI:O'N,.,
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 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 S1 B17ORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEND ORNEY BEFORE RECORDING YOUR NOTICY, QF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FL�IDA
COUNTY OF �
COUNTY OF UnSVA4
The forgoing instrument was acknowledged before me
this., day of of 20_ by
The for ing instrument was acknowledged before me
this 21 day oflJo%^y%kv 20A by
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Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identification \v
Personally Known_ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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DATE
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Rev. 2/7/19