HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/12/2021 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: GARAGE DOOR REPLACEMENT
'.","PROPOSE,I IMPROVEMENT LOCATION: —
Address: 5302 DEER RUN DRIVE FORT PIERCE FL 34951
Property Tax ID #: 1313-502-0079-000-9 Lot No.
Site Plan Name: Block No.
Project Name: RIGHTUNO LLC
DESCRIPTION OF WORK: ` ° '�,R4 ° IIII�����I
','DETAILED H NINE
9X7 HAAS GARAGE DOOR
MODEL 2580
COLOR: WHITE
New Electrical Meter Second Electrical Meter
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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: Sq. Ft. of First Floor:
Cost of Construction: $ ` ` Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name RIGHTUNO LLC
Name: JUAN RAMOS
Address:5302 DEER RUNDRIVE
Company: JR GARAGE DOOR SERVICE LLC
City: FORT PIERCE State: _
Address: 5920 NW CONUS STREET
City: PORT SAINT LUCIE State:
—
Zip Code: 34951 Fax:
Phone No.347-665-2697
Zip Code: 34986 Fax:
E-Mail:
Phone No 772-877-3805
Fill in fee simple Title Holder on next page ( if different
E-Mail jrgaragedoorservice@gmail.com
State or County License 30824
from the Owner listed above)
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.
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DESIGNER/ENGINEER: _
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Not Applicable
MORTGAGE COMPAN
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
Cit
State:
Zip: Phone
Ip: Phone:
FEE SIMPLE TITLE HOLDER: _
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BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: hone:
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
. .:aL. I.... A*+knfnrc rr%mmonrin,1 XA/mark nr rPrnrding vour Notice of Commencement.
WILII ICIIUCI UI all CILl.U111C--
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORP
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STATE OF FLORIDA
OF
COUNTY OF
COUNTY
n to (or affirmed) and subscribed before me of
rn to (or affirmed) and subscribed before me of
hysical Presence or Online Notarization
ysical Presence or Online Notarization
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This day of YYZCclr � 1DW by
this day of
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known ' OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary
(Signature of Notary P flirv,, IAF ofA00ao)Ic State of Florida
oy� Notary Public State of Florida
: ^ Ashley Del Toro
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Commission No. , AshleygS� o
Commission No. s�dHH052369
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MANGROVE
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DATE
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COMPLETED
Rev. 5/b/ZU