HomeMy WebLinkAboutRahming permit Appl,.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
llQ
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
PROPOSED IMPROVEMENT LOCATION: —
Address: 6702 Lakeland Blvd.
Property Tax ID #: 1301-611-0390-000-3 Lot No. 7
Site Plan Name: Block No. 118
Project Name:
Remove and haul away existing garage door. Install new 16' X 7' DAB Hurricane Master Model 824 with +36/44 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: $ 1755.00 Utilities: —Sewer _ Septic Building Height:
LESSEE. CONT�
Name Wallace Rahming Name: DeAnn Prue
Address: 6702 Lakeland Blvd. Company: Doors and More of the Treasure Coast, Inc.
City: Fort Pierce State: _ Address: 837 S. Kings Highway
34951 Fort Pierce State: FL
Zip Code: Fax: City:
Phone No. 772-538-5498 Zip Code: 54945 Fax: 772-252-4633
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 License CRC 1331540
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: _
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:_
State
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:.
_ Not Applicable
State:
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
..,+L. I.,.,.4 knfnrc rnmmonrinQ wnrk or rPrnrdino vnur Notice of Commencement.
VYILII IC.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF :54 L
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
by
Physical Presence or Online Notarization
this c>-c;�-day of \S Lf�.� 202q by
this day of f2,_ i o r\"1��, 2024
--Name o 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
1 4.
C
\
Signature of Notary P"6Wii Ngnature of Notary PubU G D'ONOFRIO
D'ONOFRIO
KAREN
E'
? # GG 237558 :. ION # GG 237558
Commission No. MY(6@MI�ISSION
lo_nCm2ission No.� ,� MYC
2022 PIRES:August5,2022
=' EXPIRES: August 5, 9i cf
°f' Notary Public Underwriter `, 7 _ j .: "° Bonded Thru Notary Public Underwriters
F v nded Thru
REVIEWS FRONTZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
7-
COMPLETED
Rev. 5/b/ZU
N
Address
2" 1 - Z'�
Ca! o a K
Street
Doors & More of the Treasure Coast, Inc.
V-\PA\� A
City
837 S King's Highway
Ft. Pierce, FL 34945
P: (772) 409-4501
F: (772) 252-4633
www.doorsandmoretc.com
�q 1 ✓i
Phone la'' 2,7 5 kf tl'T E-mail
Door Size l0 X, Model - 1 Windload e_� U `' `l PS[-
Cole Whit Almond Brown Oak Cherry $ c�
Tear Out $
Insulation
2 X 6 PT Jambsgol �\ <Z Ij-e-5
Operator
Remotes: 1 2 3 Rail: 7 Ft 8 Ft
KeyPad
r
Re hook-up to existing motor: Yes No �/ nr I
Trim: Yes No
Additional Notes:
t c-A
I 1_� 1� (V
Accepted by Customer
Signature
$
4,1
$
Permit $
�T G�
Subtotal $
Deposit $
Balance
Date _ ��