HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/31/2020 Permit Number:
®
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:Garage door
Address: 7429 Laurels Place
Property Tax ID#: 3322-501-0011-000-6 Lot No.8
Site Plan Name: Block No.
Project Name:
Replace (2)9x8 and (1)6x8 garage door
FL# 16104.41
New Electrical Meter Second Electrical Meter
z
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4574.00 Utilities: —Sewer _Septic Building Height:
Name Ivan Somers Name:Connie Grace
Address:7429 Laurels Place Company:D&D Garage Doors of PSL
City: Port St Lucie State: FL Address:435 NW Enterprise Dr
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.772-252-4740 Zip Code: 34986 Fax:
E-Mail: Phone N0772-460-7630
Fill in fee simple Title Holder on next page(if different E-Mail Tiffany@ddgaragedoorspsi.com
from the Owner listed above) State or County License31521
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _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 Owner/Lessee/Contracto-r as Agent for Owner Signa of Contractor/License Holder `
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF �S� L,
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization X Physical Presence or Online Notarization
this 31 day of August ,2020 by this 31 day of August 2020 by
Connie Grace Connie Grace
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
' 11h=
(Signature of NotaryPublic-State of.Mbrida) (Signature of Notary blic-State of F rida)
r0 r°e�,o TIFFANY METZGER o"Ay Pt's�, TIFFANY METZGE
Commission No. + ,(Se9Fmissl0n#GG356108 Commission No. # *eaOommission#GG356 0
��i Perot Expires April 26,2022 N
�\oY Expires April
FOF IWO Thru Budget NotaryServic lc
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20