HomeMy WebLinkAboutBelton permit applicationBE COMPLETED FOR APPLICATION TO BE Permit ED
All APPLICABLE INFO MUST Number:
Date:
Building Permit Application
Planning and Development Services Commercial Residential X
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Garage Door
M E NT LUCA I I U N:
Address: 2703 Walker Drive
Property Tax ID #: 1432-806-0092-000-5
Site Plan Name:
Ornicrt Nnmp- _
Remove exsisting garage door, Install new 9x7 Hurricane masierwan tow-ou moor-
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. aD
Block No. --.
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:
Cost of Construction: $ 1,045.00
Sq. Ft. of First Floor:
Utilities: _ Sewer
OWNER/LESSEE:
Name Mary Belton
Address: 2703 Walker Drive
City: Ft. Pierce State: t(�
Zip Code: 34946 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
_ Septic Building Height:
CON. qTOR:
- ----
Name: DeAnn Prue
Company: Doos and More of the T.C.
Address:837 S.Kings Hwy
City: Ft. Pierce State: FI.
Zip Code: 34945 Fax:
Phone No772-409-4501
E-Mail deann@doorsandmoretc.com
State or County License-CRC-1 331540
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:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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 recordjn& Your Notice of Commencement.
Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF COUNTY OF �, '
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 3 day of 7 202p by
Sworn to (or affirmed) and subscribed before me of
1C Physical Presence or Online Notarization
this _---Is day of 12021 by
Name of person making statement. I Name of person making statement.
Personally Known_ OR Produced Identification Personally Known /_ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
'(Signature of Notary Public -
Commission No. < 21
of Notary
KAREN D'ONOFRIO
gQMMISSION # GG 2315 8C mission No.
EXPIRES: August 5, 2022
Bonded Thru Notary Public Underwri ers
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
or nvr 1LWEN D'ONOFRiO
MY COfIQMlSION # GG 237558
EX August 5, 2022
Bonded Thru Notary Public Underwriters
SUPERVISREVIEWOR I REVIEW PLANS I VEGETATION EV EWI SEATURTANGRO
EV EWLE MREV EWVE
QUOTE
Name
Address
Doors & More of the Treasure Coast, Inc.
Street City
Phone-1��i-- `� ��. E-mail
Door Size �� / Model Hof -((CA.,
Color: (5)
Almond Brown Oak Cherry
Tear Out
Insulation f� D Nt
2 X 6 PT Jambs 0 L
Operator
Remotes: 1 2 3 Rail: 7 Ft 8 Ft
KeyPad
Re hook-up to existing motor: 6 No
Trim: `Yes No nn
Additional Notes: Amq
i
Accepted by Customer
S4tu
837 S King's Highway
Ft. Pierce, FL 34945
P: (772) 409-4501
F: (772) 252-4633
www.doorsandmoretc.coM
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Windload -�' S d 1 (moo FS f—
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$
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$
$
Permit $
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Subtotal $
Deposit $S
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Balance $
Date