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HomeMy WebLinkAbout10763 PERMIT APP 11_30All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 � Residential X PERMIT APPLICATION FOR:R&R EXTERIOR DOOR Address: 10763 GREY HERON CT Property Tax ID #: 3321-803-0077-000-0 Site Plan Name: Project Name: PGA GREY HERON R&R EXTERIOR DOUBLE DOOR (NON -IMPACT W1 EXISTING SHUTTERS) New Electrical Meter Second Electrical Meter Lot No. Block No. 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: Cost of Construction: $ 4,475.00 Sq. Ft. of First Floor: Utilities: „�,. Sewer Septic Building Height: Name CHRIS ELAM, JAMES ELAM Name: MICHAEL CONRAN Address: 10763 GREYHERON CT Company: CONTRACTOR SERVICES OF SOUTH FLORIDA ,LLC. City_ FT PIERCE State: Address:2827 SE PACE DR Zip Code: 34987 Fax: City: PORT SAINT LUCIE State:fl Phone No. 772-971-3584 Zip Code: 34984 Fax: E-Mail: Phone N0772-361-3227 Fill in fee simple Title Holder on next page ( if different E-Mail sfcontractor@yahoo.com from the Owner listed above) State or County License CBC1.261632 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. if value of HAVC is $7,5W or more, a RECORDED Notice of Commencement is required. utb1bNtiK/trvV3atNEER: -Not Applicable Name; Address: City: State: Zip; Phone MORTGAGE COMPANY: Not Applicable Name: Address: City; State: Zip: Phone; FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: Not Applicable Name; Name: Address; Address:' City;City: Zip; Phoney 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 o n attnrnev hefore commencing work or recording vnLir Notice of Commencement_ Signature of Owner/, Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STAVE OF FLfl A STATE OF FLORIDA COUNTY OF P COUNTY OF Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of .. Physical Presence or Online Notarization ... Physical Presence or_ Online Notarization __._.._ this day of - 2020 by this OL day of ---� 2020 by ZX21, Name of person making statement. Name of person making statement. Personally Known OR Produced identification ,� Personally Known OR Produced Identification Type of identification. µ Type of Identifica 'on Produc Produc.°. .: . (Signtrfure of No ary u - llotary i�ut3liC Mate Florida` (gna ure o Notary Public- Sift lore Batar}''ublic of �. Ann �� Commission No State c>t Florida r ; . ��i iC►Si Commission No ����tr►issi� My Co h; n GG 300310 �orx. Expires02/11/2023 an Expir,S..'sSIn G 30031g REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVE© DATE COMPLETED nev. D/ o/,4u.