HomeMy WebLinkAboutPeters Permit Appl.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
FLU CIE
�aI
'` • 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:
Address:
Property Tax ID #: %.3b I - w (_a) "- C-DC7 Lot No.
Site Plan Name: Block No. t y
Project Name:
An _ + two
New Electrical Meter • • Electrical Meter
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: $ 00
Gas Piping
Sprinklers
Shutters
Generator
�indows/Doors _ Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
Name. r i
Address:
City: EL- - 2 teik LAP State: F
Zip Code: ,��(�S Fax:
Phone No. `l`l off- L(C)S-`7 (10o;�'I
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Company:] �F' 1c�C�le �e _c y�r,�'�.C,•TifV
Address:
City: =E- li�k-kAS `P Stater
Zip Code: J f C1 q e_ Fax:-y�3-
Phone No '77 D- 140 I1 'i SD
E-Mailc-� c� 0.K1� - CS
State or County License L9C"
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
Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
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 ipnriPr nr an attnrnPv hPfnrP cnmmencine work or recordine vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor-as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI A •
STATE OF FLORIDA
COUNTY OF •
COUNTY OF a --is; - L
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 day of�i, 2024 by
this day of 202(t by
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known _� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
�. N D'ONOFRIO
(Signature of Notary Public S KgREND'ONOFRIO ture of Notary Public=.St I EX IRES:Ftugust5,2022
;75r
COMMISSION # GG 2 ;;;t;o:; Bond tary Public Underwriters
Se�� :'
Commission No. =•: )EXPIRES:pugust5,20ission No.
Bonded Thru Notary Public Un
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
��.�, *
i�.
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QUOTE
Name
Address Oy
Doors & More of the Treasure Coast, Inc.
837 S King's Highway
Ft. Pierce, FL 34945
P: (772) 409-4501
F: (772) 252-4633
www.doorsandmoretc.com
Street City
Phone ` b$— 263--? E-mail
6NDoor Size
-7 Model Windload + `7 1
Color: (W�h��it,, Almond Brown Oak Cherry
Tear Out
Insulation
2 X 6 PT Jambs
Operator
Remotes: 1 2 3 Rail: 7 Ft 8 Ft
KeyPad
Re hook-up to existing motor: Yes tN�6
Trim: 'Yes No �Q
Additional Notes:S
C)
Accepted b Customer
P Y
Signature
t
C Z) J--e_
Permit
Subtotal
Deposit
Balance
0� - L� -
�}O
C)
J O
$ 0,
Date ��_