HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: 400 Bradley Street, Ft. Pierce
PROPOSED IMPROVEMENT LOCATION;
Address: 400 Bradley Street, Ft. Pierce
Property Tax ID #: 3402-602-0081-200-4
Site Plan Name: Indian River Estates
Project Name: Cooper
I DETAILED DESCRIPTIONOF WORK:
Replace (9x7) garage door size for size
New Electrical Meter Second Electrical Meter
Lot No.38 & 39
Block No. 2
CONSTRUCTION INFORMATION: I
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: $ 1824 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Susan Cooper
Name: Tarek Dalaq
Address: 400 Bradley St
Company: Overhead Doors of America/Doormaster
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.
Address: 3802 US Hxvy 1
City: Cocoa State: FL
Zip Code: 32926 Fax:
Phone No 321-576-0125
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Is i. c _
E-Mail doormasterpermits2@gmail.com
State or County License 29184
=, a n«.vnuru rvuuce or wmmencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phon
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
State:
Not Applicable
UWNLK/ 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 attornev before commpnrina wnrk or rarnrrlinv "ni it Klr%+i�o „f r,,.,,,,,,,., , .....
Murewwner/ Lessee/Con Agent for Owner
Signature of Contractor/License Holder
'TATr
STATE OF FL
COUNTY OFORIDA ``
STATE COUNTY OFOF ORA� • LUUr N UMAJ
Swc to (or affirmed) and subscribed before me of
_ P ysical Pr ence or nline Notarization
this day of 2020 by
Swor�o (or affirmed) and subscribed before me of
✓Physical Presence or Online Notarization
this oL day ofMCi'llill')re V"' 2020 by
tatement.
Name of person mak70R
Name of person making statement.
Personally Known Produced Identification
Type of Identification
Produced
Personally Known OR Produced Identification
Type of Identification
Produced
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(Signatur of Notary Publ' - State of Florida ) *'t ILLI N
Commission No. (Seal Stafte
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Notar
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8/24/2024 Com
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
-
MANGROVE
REVIEW
DATE
RECEIVED
DATE
F�l
COMPLETED
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