HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/21/2020 Permit Numbercp_001 •�?`�-J
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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 XC>< Residential
PERMIT TYPE:Door Replacement/ Notice of Violation # 99902
�P"ROPOSED IMPRO\lEMEfT LOCATION ¢.� ' �
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Address: 4026 N US Hwy 1, (Pool House Door) Ft. Pierce, FL. 34946 (OR3649-1987:4027-711)
Property Tax ID#: 1420-141-0009-000/0 Lot No.`°"°¢107'°""""
Site Plan Name: Pool Utiltly Door Block No.
Project Name: Pool Utility Door
DETAILEDxDESC RK v , 50, � R ,^&'
RIPTIOOF U/O
Remove and replace door(Pool House Door)
CONSTRUCTION INF®RIVIATION`
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: $ 3,000.00 Utilities: —Sewer —Septic Building Height:
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CQjWNER/LESSEE
z, CONTRACTOR
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Name C_"C7L-i L/E Y"Q L -e qQ tee:Earl Gaines
Address: o2 f_6 ' 1 Company:E & B Elite Services Inc.
City: 2/`c,� State: L Address:
5821 Starcher Ave
Zip Code: Fax: City: Ft. Pierce State:FL
Phone No. �r �f (� �� Zip Code: 34945 Fax: (772)465-2351
E-Mail: Phone No(7720 577-0826
Fill in fee simple Title Holder on next page(if different E-Mail ERLGAINES@COMCAST.NET
from the Owner listed above) State or County LicenseCGC1517445
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.
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SUPPLEME(�TAUCONSTRUCTI®N GIENIgk
WINF®RMATIGIIU � _ `
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: T Not Applicable
N am e:Architectonic inc, Name:
Address:606 DmvareAve Address:
City: Ft.Pierce State: FL City: State:
Zip: 34950 PhOne(772)460-7751 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY'OF COUNTY OF ,
The forgoing instr ent was acknowledged before me The forgoing instru nt was acknowledged before me
this44�- day of 20-0 by thizd—day of 20LZ>D by
2OLd c-,&.-&�
Name of person making statement. Name of person making statement.
Personally Known V OR Produced Identification Personally Knower OR Produced Identification
Type of Identification Type of Identification
P oduced Produced
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blignAture cf Notary Ru-blia State of Florida) gn ture of Notary Publi State of Florida)
Commission No. Commi
'�"p�''•• SHAHNAINGRAM-RAHMING
"r87;••.,, LA%MNAINGRAM RpHMING .�s.. .acl,;
s.. _ MY COMMISSION
MY I • bar EXPIRES:December2O,2022
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