HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 X Residential
PERMIT TYPE: Garage door/ roll up
Address: 5560 S US Hwy 1
Property Tax ID #: 3403-502-0302-000-4
Site Plan Name:
Project Name:
Replace (2) 12x14 roll up doors --- 2nd and 4th door from the north
FL # 21450.4
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction. $ 6098.00
_ Sprinklers _ Generator
Sq. Ft. of First Floor: _
Name Nicholas S. Smith
Address: 7845 SW Ellipse Way
City: Stuart State:
Zip Code: 34997 Fax:
Phone No. 772-577-8429
E -Mail:
Lot No. 234
Block No.
Windows/Doors
Roof Pitch
Utilities: —Sewer —Septic Building Height:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Connie Grace
Company: D&D Garage Doors PSL
Address: 435 NW Enterprise Dr
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No 772-460-7630
E -Mail Tiffany@ddgaragedoorspsl.com
State or County License 31521
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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MORTGAGE COMPANY: Not Applicable
DESIGNER/ENGINEER: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: !C 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 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 FLORIDA
STATE OF FLORIDA
COUNTY OF St Lucie
COUNTY 0FstLucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 14 day of Aprii 20AOby
this 14 day of April , 20QUby
Connie Grace
Connie Grace
me of person making statement.
Name of person making statement. N
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*rsonally Known x OR Produced Identification
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MANGROVE
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REVIEW
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DATE
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