HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
TacATci :
b9
Address: 606 Brack Road, Ft. Pierce, FI. 34950
Property Tax ID#: 3403-701-0022-000-8 Lot No.22 &23
Site Plan Name: Block No. A
Project Name:
6Q"
Remove exisiting doors and install 2 new-9 x7 DAB Hurricane Master model 824 w+50/-60 PSF
New Electrical Meter Second Electrical Meter
;CONSTRUCTION INFORMATION:
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: $ 1,723.00 Utilities: —Sewer —Septic Building Height:
Name Robert Hinojosa Name: DeAnn Prue
Address: 606 Brack Rd Company:DoorsandmoreoftheTC.com
City: Ft. Pierce, FI. State:_ Address: 837 S. Kings Hwy.
Zip Code: 34950 Fax: City: Ft. Pierce State:FI.
Phone No.772-579-1508 Zip Code: 32945 Fax:
E-Mail: Phone No 772-409-4501
Fill in fee simple Title Holder on next page( if different E-Mail deann@doorsandmoretc.com
from the Owner listed above) State or County LicenseCRC131540
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 MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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 beforeqommencing work or recording our Notice of Commencement.
I
Signature of Ow er/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � _L, k-e COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sw rn to(or affirmed)and subscribed before me of
V Physical Presence or Online Notarization Physical Presence or Online Notarization
this ai,�;Lday of ��� c 2024 by this C'Q-day okt,�C ko 202f by
Name of person making statement. Name of person making statement.
Personally Known I)(—OR Produced Identification Personally Known_X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
1
Signature of Notary Public-Sta of &da KAREN D'ONOFRI 0n ure of Notar PeY C' _••at��O �IbN#GG 237558
MY COMMISSION#GG 37558 EXPIRES �t 5,2022
Commission No. al) EXPIRES:August tom ssion No. dedThruNobricUnderwriters
9
Bonded Thru Notary Public U envriters 'c
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/15/20
ce
Doors & More of the Treasure Coast, Inc.
837 S King's Highway
Ft. Pierce, FL 34945
P: (772) 409-4501
Doors & More F: (772) 252-4633
T«""`e co"'wrdqr Door spt_CjAjj%t www.doorsandmoretc.com
�d `w ��
QUOTE
Name Y, 0 S C-k
Address � � r 2. �
-7 Street City --7
Phone�n-)= /�"' -7 E-n ail
Door Size2— _1'�, - Model �{ Windload
C White Almond Brown Oak Cherry , $ 78
(]T:ea:rOut $
Insulation $ i
2 mbs $
Oper $
Remotes: 1 Rail: 7 Ft 8 Ft
Re hook-up to existing motor: Ye No
CIO
Trim: Yes No $ 5L
Addi al Notes: `��� co
3 {t r A Q L—
Permit $ 22
Subtotal $
c%2
Deposit $
Dd
Balance $
Accepted p by Customer Date I, /
Signatur