HomeMy WebLinkAbout2007-0368, Garage Door Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/08/20 Permit Number:
L�L_Fct,1"E —
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: btSU4 deer run dr
Property Tax ID #: 1313-502-0127-000-1
Site Plan Name:
Project Name: MW real estate 5804
DETAILED DESCRIPTION OF WORK:
Lot No.550
Block No.
Replace existing side garage door 2868 right hand outs wing smooth fiberglass slab w/frame saver k
Jambs
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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: 3597
Cost of Construction: $ 450.00
_ Sprinklers _ Generator
X Windows/Doors _ Pond
Roof Pitch
Sq. Ft. of First Floor: 2680
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameMW real estate group holdings 1 Ilc
Name:Jesus Medina
Company:Big Dog Repair Llc
Address:130 s indian River dr
Address:16850 Collins ave #11250
city: Sunny isles FL State: _
Zip Code: 33160 Fax:
Phone No.954-526-5836
city: Fort pierce state:Fl
Zip Code: 34950 Fax:
Phone N0772-742-1200
E-MailBigdogserv@gmail.com
E-Mail:Lucas@mwregroup.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County LicenseCbc1253459
it vdiue or consiruaion Is GSUU or more, a KLLUKueV Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owne l-Lessee" o tractor as Agent for Owner
Signature of Contr ct000 e6s _. older
STATE OF D --- — ----
ST E OF FL DA
COUNTY OF c',
COUNT F--
Sw n to (or affirmed) an bsc ri bed before me of
Swor (or affirmed) and subscribed before me of
Physical Pre ence or Online Notarization
`-® Physical Presence or Online Notarization
this day of 2020 by
this day of 2020 by
\
(?L'3
Name of person making statement.
Name of person making statement. n o
C
Personally Known OR Produced Identificti _
Personally Known OR Produced Identificar►12
Type of Ide„nti ication
{kr'�4>
Type of Identification
r uced t
P o uced
�
CrJk1'AAAkA/
Ss
Gr
4
Ajzy
r ,",
r
g ture)6f' ota Public- State of Florida)
(Si ure of otar ublic- State of Florida )
m fission N 1 l., . c. #X !dr.
l (Seal) � �..
M1``\tt ASfdr�p�'/p
Co mission No. dodo (Seal) 4 -��•
,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.