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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ''nn 1
Date: Permit Number: �0 -V-lu c)-
91Ta I,UCD `'
0
-a 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
PROPOSED I1M, PROVEMIENT LOCATII©N1.1i750,Cody Ln�Fort,Pierce,;FL 3449451
Address: 1750 Cody Ln. Fort Pierce, FI. 34945
Property Tax I D#: 2305-500-0007-000-6 Lot No.7
Site Plan Name: Country Living Estates S/D Block No. Alot
Project Name: Allen
i
DETAIILED DESCRIPTI'OU,OF WORK—
Replace 16 x 7 Garage Door size for size
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New Electrical Meter Second Electrical Meter
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CONSTRUCT60)NCl!NIFORMATh0`N`:
�I
Additional work to be performed under this permit—check all that apply:
j _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:$ 2,388.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESS:EE`: CONTR�A,CTO.R:
Name Deon Allen Name:Mitchell Pierce
Address:1750 Cody Ln. Company:Quality Garage Door Services
City: Fort Pierce State:_ Address:1429 Chaffee Dr. Suite 1
34945 N/A Titusville FI
Zip Code: Fax: City: State:
Phone No.561-602-0492 Zip Code: 32780 Fax: N/A
E-Mail: Phone N0772-232-7019
Fill in fee simple Title Holder on next page(if different E-Mail qualitygaragedoorservices@yhoo.com
from the Owner listed above) State or County License CRC1329903
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.
i SUiPPLEMI;ENsTAL CONSTR,�U,CTION.klIiENI LAW I:NIFORMATION ;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 intero to obtain financing, consult
with lender or an attorney before commencing work or recordingyo,OrqWof Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
;STATE OF FLORIDA STATE OF FLP IDA n
COUNTY OF COUNTY OF' hf'L'�/,Arof
(Sworn to(or affirmed)and subscribed before me of Swjrn to(or affirmed)and subscribed before me of
i Physical Presence or Online Notarization ^ Physical Presence or Online Notarization
,this day of 2020 by this ay of �. 2020 by
O- emc4
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known_OR�g+ d IdddWiga4TV*_NML
Type of Identification Type of Identification * * Commission#GG 981730
Produced Produced Expires August 24,2024
O'FIWO BondedTtuuBWpMotwySTIces
(Signature of Notary Public-State of Florida) (rlg6ture of Notary Public-State of Flo LISA A STEVENS
Commission No. (Seal) Commission No a$L� I Commission# t2 1
o� ) Expires August24, 0
9rFOFf- Boded TtuuBudgetNotaty 1-
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.