HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
S')� ILL] UL . ,.�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 4-' 1 u � 4 -L. I - . , -:: I : 4 !c, 'Lit r � is E V -'
Property Tax ID #: 34),& 6_00 1 o [3 000 3
Site Plan Name:
Project Name:
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
�i
Cost of Construction: $�
Name RJ S r/tic:
Lot No.
Block No.
v Windows/Doors _ Pond
_ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
Address: to AkeG C i'-e✓`'-on,ecw\ 61W - W.
City: gh� t4f Lf'e— State:
Zip Code: Fax:
Phone No.��a
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: J,L /7W41/ rf, ,z,
Company:d
Address: ? X215k C W
City: /C7u"6- State:
Zip Code: 3 L6C)j Fax:
Phone No_
E-Mail d eanl-1
State or County License
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.
GE COMPANY: Not Applicable
DESIGNER/ENGINEER: _ Not Applicable7Address:
_
Name:
Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _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.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
-
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA ' ti
COUNTY OF
COUNTY OF „ .
Sworn to (or affirmed) and subscribed before m#
_62�
Sworn to (or affirmed) and subscribed before me of
_✓Physical Pre nce or Online Notari t*d;»;?
this ��/• day of 2020 by
_✓Physical PreS�nce or Online Notarization
� day
. €' W
this 2020 by
ofC.
L �
Name of person making statement.
Name of person making statement. N m
Personally Known OR Produced Identi ' i6'
Personally Known ✓OR Produced Identification
Type of Identification
Type of Identification
Pr odu ed
Produced
v
ignat re of N tary Public State of F orida) .�
(Signature of Nbtary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Doors & More of the Treasure Coast, Inc
837 S King's Hwy
Ft. Pierce, FL 34945
13,(772) 409-4501
F: (772) 252-4633
www.doorpandmorotc. c onn
Name / Address
Christine Duhnowski
George Lauren
64 Med North
Port St Lucie, FL 34952
Item
9 x 7
Permit
Ship To
Estimate
Date Estimate #
11/30/2020 200143
Description
Remove existing garage door. install new DAB Hurricane Master Model
824 Brown, steel garage door with +501-60 PSF, raised panels, and inside
locks. All standard tracks and hardware.
Book door up to existing door opener.
Port St. Lucie Building Permit
***A deposit of $250 is required to obtain building permit and place order
for the garage door. The remaining balance is due at the time of
installation,
sign,
Date / ), I aq
Quote is good for 90 days and is not valid unless signed. Net balance is
due at time of installation.
Total
Qty Total;
1 I 936.00
1 ( t 25.00
$1,061.00
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