HomeMy WebLinkAboutBIANCOAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��`�\x> Permit Number:
(, OV
a 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
PERMIT APPLICATION FOR:Garage door
Address: 10602 Pine Needle Dr
Residential X
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
Replace 16x8 garage door
NOA 20-0107.06
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: _
Cost of Construction: $ 1565.00
Sq. Ft. of First Floor:
Windows/Doors
Roof
Utilities: —Sewer _Septic Building Height:
M.
Pitch
Name MIKE BIANCO Name:CONNIE GRACE
Address:10602 PINE NEDDLE DR Company:D&D GARAGE DOORS PSL
City: FORT PIERCE State: V - t, Address:435 NW ENTERPRISE DR
Zip Code: 34945 Fax: City: PORT ST LUCIE State: FL
Phone No.772-284-0005 Zip Code: 34986 Fax:
E-Mail: Phone N0772-460-7630
Fill in fee simple Title Holder on next page ( if different E-MailTIFFANY@DDGARAGEDOORSPSL.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:
Name:_
Address:
City:
Zip:
Phon
X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:
State
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:_
Address:
City:_
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 your Notice Qf Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORJD.A1
COUNTY OF
STATE OF FLORID
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 kO day of f ` , 2020 by
this \'D day of b�%z% F '' 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known �'-4 OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary blic- State Plorida)
(Signature of Notary public- State of OlMda )
e",o TIFFANY METZGER
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Commission No. �,eal¢ommisslon#GG3561
Ns Expires April26, 2022
o';,A11 �TIFFANY METZGE
8Commission No. * al)Commission#GG35
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