HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numben ,
7
Building Permit Applicall ion APR 2 8 2020
Planning and Development Services P e m i t t I t g D p a rt m Ie-r -
Building and Code Regulation Division St. Lude ColuntyFL
2300 Virginia Avenue,Fort Pierce FL 34982 ,
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ResidentialX_
PERMIT TYPE: exterior door replacement
T
OPOS E Q!I;M7� T 10'
Address: 7003 Arthurs Road
Property Tax ID#. 1301-614-0209-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
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tv'M k
remove and replace front door(exterior)
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:$ YUtilities: Sewer Septic Building Height:L(o 0
ti CONTRACTOR'..'
SElt'
'OWNEQUES
Name Deborah McBride Name:
Address: 4310 Seminole Road Company:
City: Fort Pierce , FI State: Address:
Zip Code: 34951 Fax:— City: State:
Phone No.772.216.6135 Zip Code: Fax:
E-Mail:mcbridedeborah@bellsouth.net Phone No
Fill in fee simple Title Holder on next page if different E-Mail
from the Owner listed above) State or County License
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.
Sy- 'EM
y- LIEN LAW INFORMATION
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 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/Less a/Con tractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA k _ STATE OF FLORIDA
COUNTY OF COUNTY OF
The for ing instru ent was acknowledged bfore me The forgoing instrument was acknowledged before me
this day —qty this day of 20_ by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced � . !l - Produced
—at'li Jl�_tlqr
(Signature of N Vry
Pub ic-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. ;,,,,YP •, pig j B.HUMPHREY Commission No. (Seal)
MY COMMI SION#GG 300817
EXPIRES:March 6,2023
�FOF F°,' Bonded Thru Notary Public erwn e
REVIEWS FRO I R PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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