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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/12020 Permit Number: O C/ • 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: Garage Door Replacement PR,©POSED I'JVIIPROVE.M"ENT LOCATLONI';' Address: 206 Olive Ave Port St. Lucie, FI. 34952 Property Tax ID#: 3419-510-0264-000-9 Lot No.33 Site Plan Name: Block No. 19 Project Name: Burley . 4 DETAGLED DESCRIPTION,OF WORK., Replace 2 ea. 10 x 7 Garage Doors Size for Size CONSTRUCTIONNi INIFO:RM'ATI,ON-, 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:$ 3,338.00 Utilities: —Sewer _Septic Building Height: I OWNER/LESSEE CONTRACTOR;: NameAaron Burley Name:Mitchell O. Pierce Address:206 Olive Ave. Company:Quality Garage Door Services City: Port St. Lucie State:_ Address:1429 Chaffee Dr. Ste 1 Zip Code: 34952 Fax:N/A City: Titusville State:FI Phone No.225-247-8230 Zip Code: 23780 Fax: N/A E-Mail: Phone N0772-232-7019 Fill in fee simple Title Holder on next page(if different E-Mail Qualitygaragedoorservices@yahoo.com from the Owner listed above) State or County License CRC1 329903 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. S.UPPLEIVIENITAL,CONSTR.IJCTION; LI.E.NI LA�11V'INIFORNIATI;O-NI:;` 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 thepermit 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 RE THE FIRST INSPECTION. IF YOU INTEND TO O TAIN FINANCING, CONSULT WITH YOUR LENDER ORNEY BEFORE RECORDING YOUR NOTICE OF C ENCEMENT." A/� XAM��__ Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLQ RIDA COUNTY OF�J-A COUNTY OF`brevarcf The forgoing instr ent was acknowledgegl,�efore me The forgoing instrument was acknowledged before me thi day of 2 by this 21 s:day of�ni, 202D by y iA�c�lt A , i Svc 6 h" it 0- Name of person making statement. Name of person making statement. Personally Known C OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identificatidn Prod d Produced (Sign ture of Notary Public-State of Florida) ( gnature of No aryPublic- t Public State of Flonda Stevenson Commission No. ,�����, E(ge"it/24/20Commission 20 212244 KAREIf�6�l)NIELSEN Commission No. G21L2y �iror'L'827A State of Florida Notary Public =+ Commission # GG 207484 fol y Commiss on Expires REVIEWS e 2 PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2