HomeMy WebLinkAboutBuilding permit Appl.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
,PROPOSED IMPROVEMENT LOCATION:
Address: 6506 Coquina Ave
Property Tax ID #: 1301-611-0277-000-5 Lot No.3
Site Plan Name: Block No. 114
Project Name: Lakewood Park
Remove exisiting door and 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: $ Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:CONTRACTOR:
Name Donna Morris Name: DeAnn Prue
Address:6506 Coquina Ave. Company: DoorsandmoreoftheTC.com
City: Ft. Pierce State:! � •• Address: 837 S. Kings Hwy.
Zip Code: 34951 Fax: City: Ft. Pierce State: FI,
Phone No.772-672-1752 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 License CRC131540
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 attorrLey before commencing work or recordin our Notice of ommencement.
Signature f Owner/ Lessee/Contractor as Agent for Owner
Signature &f Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF �� �'�
COUNTY OF �`2 .
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this,2 day of iP 2024 by
Physical Presence or Online Notarization
this o1 day of -`r A� 12020 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
Lc
nature f Notary Public- State of Florid j
ignature of Notary Public- Stat o Florida,) - {<AREN D'ON
MY COMMISSION
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DATE
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DATE
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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
QUOTE
Name
Address
Phone -) 7,?, - %-7a " I _
Door Size
Color: White Almond Brown
Tear O
=X6
amb
Operator
City
E-mail L�
Modell b)46 Windload �.
1411, r r i Cct -'C--
f�'
Oak Cherry rnuS $ f
$
$
Remotes. Rail:-7Ft 8 Ft
Keyftd—
Re hook-up to existing motor: Yes No
Trim: ges No $
Additional Notes: ub�
T
$ 3
Permit $
Subtotal $
V� to 1�
Deposit $ Z�
Balance $ `
kk
Accepted by Customer Date 1
Signature