HomeMy WebLinkAboutTHOMASAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/10/2020 Permit Number:
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: 6506 Woodsmere Way
Residential X
Property Tax I D #: 1301-607-0082-000-8 Lot No.1
Site Plan Name: Block No. 73
Project Name:
Replace 16'2x7 garage door
FL# 16546.4
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters'�l/indows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Name Mark Thomas
Address:6506 Woodsmere Way
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
City: Fort Pierce State.F ---
Zip Code: 34951 Fax:
Phone No.772-519-0130
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Connie Grace
Company:D&D Garage Doors of PSL
Address:435 NW Enterprise Dr
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone N0772-460-7630
E-Mai I Tiffany@ddgaragedoorspsl.com
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: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: 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 of Commencement.
Signs ure of Owner/ Lessee Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORMLA
S-N-- O
STATE OF FLORID
COUNTY OF , C_
COUNTY 01
S� 7,n to (or affirmed) and subscribed before me of
Svr�or to (or affirmed) and subscribed before me of
'/"Physical Presence or Online Notarization
7"Physical Presence or Online Notarization
this l��d�ay�o�f ���c�/ by
this d�a�^y'Hofl—T): 2/020pby
/12020
s't�e^(/n'
Name of person making statement.
Name of person making statement.
Personally Known N�O OR Produced Identification
Personally Known W OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
/�
1 Il cp
AdDa�
(Signature of Notary iublic- Statdol Florida kIFFANY METZGER
(Signature of Notary Publi - State of Flori a P
' Co mission # GG 356108
�'gty pu'oe TIFFANY METZGER
....
Commission No. *s o (A
Commission No. , * �gv�lql)slon#GG356108
�. piresApril26,2022
�rforF�pa Bonded ThmBudget Notary Sorvlcos
��, or Expires April 26, 2022
yrFCtr
6JiT bmidnd Thru Budget Notary Sorvfrn,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20