HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Applic tion NOV 2 6 2099
Planning and Development Services
Building and Code Regulation DivisionPermittingDepartment
2300 Virginia Avenue,Fort Pierce FL 34982 t. I_..0 C j e ' I.n ty,, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial e�idenla� _
PERMITTYPE: Residential Garage Door
"PROPOSED IMPROVEMENT,LOCATION
Address: 1717 Primrose Court Port Saint Lucie, FL 34952
Property Tax ID#: 3426-703-0150-000-1 Lot No.136
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTIOWOF WORK
Replace 16X7 garage door with same
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:$ lbo Utilities: —Sewer —Septic Building Height:
,,OWNER/LESSEE: `. . CONTRACTOR:
Name Dean M Ruscoe Sandra J Ruscoe Name:Evan Weilage
Address:1717 Primrose Court Company-Coastal Garage Door
City: Port St Lucie State:_ Address:601 SW Hillsboro Circle
Zip Code: 34952 Fax: City: Pt St Lucie State:FL
Phone No. Zip Code: 34953 Fax:
E-Mail: Phone No 772-812-7023
Fill in fee simple Title Halder on next page(if different E-Mail ecoastaldoors@aol.com
from the Owner listed above) State or County License
27238
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 CONSTRUCTION UEM LAW 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 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 MDER O AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFtOMMEjVCEME1NV
Signature of Ow r essee/Contractor as Agent for Owner Signature of Contra r/ ' ense Holder
STATE OF FLORIDA STATE OF FL A
COUNTY OF 3L. LtA§J e, COUNTY OF %. L�_%u e_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of umember ,20_& by this day of tuayerc�bQc ,20_& by
Name of person making statement. Name of person making statement.
PersonallyKnown � OR Produced Identification Personally Knowny OR Produced Identification
Y
Type of Identification Type of Identification
Produced Produced
(Signature of (sign
Sys ELAINE 0001 ..... ELAIN7COOK
Commission N = MY COMMISSION( �� 81524 Com o o;: MY C0MMISSI�'�E,X,IPIRES:January 31, 07l � :�; agp NOFaryPubBc Undenxdlcrs :'�'pp pP.� gp 11W NOfa
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
2/7/19i