HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/18/2020 Permit Number: 2..J
02,-G ( (2 21
RECEIVED
Planning and Development Services Building Permit Application FEB 2 6 2020
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: building
PR'O"POSEDMiP,R'OVEIMIENT LO.CATI,O.N!:'
Address: 1706 Paseo ave. Fort Pierce 34982
Property Tax ID#: 2421-802-0145-000-9 Lot No.13
Site Plan Name: Block No. 11 & 12
Project Name: Camero
PET,AIL`EDS D8CRIPTI0,NI GE WORK.-, -
Replace 9 x 7 Garage Door size for size
CONSTRUCTION IRFORMATION+:
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:$ 1,744.00 Utilities: —Sewer —Septic Building Height:
OWNER/L'ESSEE: CONTRACTOR:
NameCorrina Camero Name:Mitchell O. Pierce
Address:1706 Paseo Ave. Company:Quality Garage Door Services
City: Fort Pierce State:_ Address:1429 Chaffee Dr. Suite 1
Zip Code: 34982 Fax:N/A City: Titusville State:FI
Phone No.586-531-8947 Zip Code: 32780 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.
SUPPLEIVIiEN, IAL,COINS fRUCTI;O„N;UENI LAW' NF'OR,MATION;:,
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 REFORE THE FIRST INSPECTION. IF YOU INTEND TO WAIN FINANCING, CONSULT
WITH YOUR LE DE TTORNEY BEFORE RECORDING YOUR NOTI E NCEMENT.”
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLQJgpA Cd
COUNTY OF V COUNTY OF
Th o going instr er�t as acknowledged before me The fortptng instr en was acknowledged before me
thieseday of 201�by this y of
V by
Name of person making statement. / Name of person making statement.
Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification
Type of Identifi Type of Identification
Produced Produced
yI AA ,�— x �pw Notary Public State of Flo id
(Sign ture of Notary Public- tat o Florida •x� (S gnature of Notary Public-Stat � )My Commission GG 212244
aw Expires 08/24/2020
Comrr i s pr�;�Vq K A R E N S N I E LS EAeal Commission No.ft-L2.4-4:q
l� UB
State of Florida-Notary Public
_* •= Commission # GG 207464
;9rF °a y Uommis3ion Expires
REV ne I SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19