HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit !Number:
' J j.
A 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) 462-1.578 Commercial Residential X
PERMIT TYPE: Garage Door
PROPOSEQ IMPROV'EMENT10CATION:
Address: 6208 Alexendria Circle
Property Tax ID #. 03410-503-0282-000-2 Lot No. 30
Site Plan Name: Block No. J
Project Name:
DETAILED DESCRIPTION QF WORK:
Replace 16 X 7 Garage Door With Same
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check ali 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: $ 800 Utilities: —Sewer _Septic Building Height:
OWNED/LESSEE.
CONTRACTOR.
Name Jacqueline Boyd Name: Evan Weilage
Address:6208 Alexandria Circle Company:Coastal Garage Door
City: Ft Pierce State: Address: 601 SW Hillsboro Circle
Zip Code: 34982 Fax: City: Pt St Lucie State: FL
Phone No. Zip Code: 34953 Fax:
E-Mail: Phone No 772-812-7023
Fill in fee simple Title Holder on next page if different E-Mail ecoastaldoors@aol.com
from the Owner listed above) State or County License27238
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.
SUPPLEMENTAL CONSTTRUM N LIED 1AW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 pians, 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 ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of O=IDA
s€e/Contractor as Agent for Owner
STATE OF FL
COUNTY OF
The f r ring instru ent was acknowledged before me
this day of 20.2LO by
Name of person making statement.
Personally Known OR Pro el rRYRiand Pme
Type of Identification NO ARY PUBLIC
Pro e" 11—S TE OF FLORIDA
m# GG287052
xoires 1/26/2023
re of Notary Publfc/ State
Commission No. (Seal)
Signature of Contrad icense Holder
STATE OF FLORIDA
COUNTY OF
The or ging instr merit was acknowledged before me
this day of r+^," 20 by
Name of person ma��OR
ent.
Personally Known P d At $�1dQrue
Type of Identification NOT Y Pl7t3L1>—
Produced sTATE F FLORIDA
ff w Corn GG287052
11 A' `I%arc �e1� j=�, s 112612023
of Notary Public- S)Qe of FI
Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED