HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/01/2020
Permit Number:
111r. ILLA2 19
rim ° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Replacing Garage Door
PROPOSED IMPROVE'
Address: 608 South Market Ave Fort Pierce 34982
Property Tax I D #: 2434-601-0021-00017
Site Plan Name:
Project Name:
Garage Door 12' 2" X 10'
New Electrical Meter Second Electrical Meter.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
_ Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,825.00
_ Gas Piping
_ Sprinklers
Lot No.4
Block No.
_Shutters ��indows/Doors _Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
NameKurbing LLC
Address:321 SW Lake Forest Way
City: Port ST Lucie State:0
Zip Code: 34986
Phone No.772-285-7557
E-Mail: kurbing@kurbing.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Company. 'VTv,�c L�-C
Address: C1 SAD f�J �S
City: >zX7��SII�I— tC l2 State: F(
Zip Code: Fax:
Phone No413-777�380 '112 Yl• 3g
E-Mailjrgaragedoorservice@gmaii.com
State or County Licensee Z�
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGECOMPANx Not Applicable
Name: Name:
Address: Address:
City: State: City: State: _
Zip: Phone Phone:
FEE SIMPLE TITLE HOLDER: x Not AppplkaEle BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: e: Zip: Phone:
XATRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
,..itk Innrlor nr nn nttnrnpv hpfnre cnmmencine work or recordine vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent o
Signature of Contractor/License Holder
STATE OF FLORID�Q
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STATE OF FLORI 1
OF
COUNTY OF �l
COUNTY , IrVCaP�
sy�o�n to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
c4, Physical Presence or Online Notarization
this � day of .0 per—fir . 2020 by
this � day of OCCC/hPr 2020 by
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Name of person making statement.
Name of person making statement.
Personally Known C>L OR Produced Identification
Personally Known _1,,� OR Produced Identification
Type of Identification
Type of Identification
Pro duc d
Produced
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Rev. 5/b/ZU