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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: D O� ` I� 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 x Residential PERMITTYPE Roll up door ©as�oEnnr�rocTla�� " ���a��� ,�. �G Address: 3810 Selvitz Rd Property Tax ID #. 2432-222-0002-000-9 Lot No. Site Plan Name:: Block No. Project Name: Replace 10x12 roll up door FL # 12765.3 Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ff of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ 2633.00 Utilities: —Sewer _Septic Windows/Doors Roof Pitch Building Height: WNEF %LES EP r. # " , „ "6 . x y CtJNTRACTC}R y Name Prestige Corp HQ - Fort Pierce Name: Connie Grace Address:21000 Torrence Chapel Rd #100 Company:D&D Garage Doors PSL, Inc City: Cornelius State: VC- Zip Code: 28031 Fax: Phone No.772-985-8327 Address:435 NW Enterprise Dr City: Port St Lucie State: FL Zip Code: 34986 Fax: Phone No772-460-7630 E-Mail Tiffany@ddgaragedoorspsl.com E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License If value of construction is 52500 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. SiPPLEMENAL CONSTRUCTION LI�lUW INEC}RMATtfl :.., �:3, ,. .,..._. . " ft DESIGNER/ENGINEER: X Name: Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: 1-� Not Applicable State: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Y. Name: Not Applicable BONDING COMPANY: Name: X Not Applicable 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_" Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORI A r - _ COUNTY OF �C STATE OF FLORIDA �� COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thiscX:�, day o203C�1by this day 20QOby o am w LnLU Name of person making statement. Name of person making statement. Personally Known _ OR Produced Identification ,- o Personally Known 7C OR Produced Identification L. Type of Identification Type of Identification o Produced Produced c (Signature of Notary P blic-State,# Flo id ) TIFFANY METZGER (Signature of Notary Publi State of Florida ( g Y ) =o,09 ;;�olc C misslon # GG 356108 Commission No. + *(Sea xpires April 26, 2022 Commission No. C, ° `:;'°ei, TIFFANY METZ.r' .`SeTJdmmission # GG o� oP� Banded TMuBud et Notary Services UFF� 9 . "'y o� ExplresApril'W /�F Q, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19