HomeMy WebLinkAboutPowers permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�1" M " ""I
V, 9 , . 1 3.. .1 1 � 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
5F_ QSEQ,4W' OVEM91NTWCATION:
Address: 911 Jackson Way
Property Tax lD#: 1423-802-0023-000-1 Lot No. 21
Site Plan Name: Block No. Unit 1
Project Name:
LAILEDZEL, L
Install new 16'x 7' DAB HurricaneMaster garage door with +48/-52 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: 1715 Utilities: —Sewer —Septic Building Height:
Name Stephanie Powers Name: DeAnn Prue
Address: 911 Jackson Way Company:Doors and More of the Treasure Coast, Inc.
City: Hutchinson Island State: Address: 837 S. Kings Hwy.
Zip Code: 34949 Fax: City: Fort Pierce State* FL
Phone No. 518-466-6919 Zip Code: 34945 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@doorsandm,oretc.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 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 before commencing work or recording our Notice of Commencement.
6'64V-'_ )64'tt - a� I'L_
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA 2'utC.y
STATE OF FLORIDA
COUNTY OF COUNTY OF �� -GtiCLCJ
Sworn,to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
✓Ph r 'cal Presence or Online Notarization ✓Physical Presence or Online Notarization
this day o 2020 by this day o 2020 by
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
BETr`f PRIDE It
(Sign ure o otary Public-State o ;r Commission#GG198 1(Signatur of No ary Public-State of Fdfi 7;*;Commission#GG19
pie Expires July 2,2022 °' o; Expires July 2,2022
Commission No. dal BondedTMuTroyFainlnsur �"m f3�s`i6n No. '?�O4 �''al�a�d�dThuTmyF* 00385
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
�Lc eq �vf -
Stvmjx, 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
-'ej.kite co,.: - pA
www.loorsandmoretc.com
QUOTE Mv
`csa
Name
Address "l l l � S(� wf �l1•�h�tyYl LS I y 9y�
Street City
Phone (c�— �(�� &. i q E-mail Q
Door Size I (Q`�-] I� Model ��� 1Ayb Windload
Color: White Almond Brown Oak Cherry $ `
c�
Tear Out $
Insulation $
2-X-6-RT--�affibs ,', $
c�
Operator /7�7 4t1c�-Sr�-Q-✓ YU� f� �� 0 $
Remotes: 1 (2 3 Rail: 7 Ft 8 Ft
KeyPad G/1t ma441 yes $
Re hook-up to existing motor: Yes
Trim: 6�) No $
Additional Notes: `f�•iQco✓�S ( '' C �-e
$ 15 .E
SL Permit $
. 0 oa
C^'� Subtotal $
Deposit $ S56)y,
Balance $ S
Accepted by Customer Date
Signature'