HomeMy WebLinkAboutLakram 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: 8007 Georges Rd.
Property Tax ID #: 1301-604-0036-000-2 Lot No.6
Site Plan Name: Block No. 27
Project Name: Lakewood Park
Remove exisiting doors and install new 14 x 7 DAB Hurricane Master model 824 w +36 /-44 PSF
New Electrical Meter Second Electrical Meter
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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: $ �, r1�, ov Utilities: _ Sewer _ Septic Building Height:
-OWNER/LESSEE: CONTRACTOR: ,k
NameRoshini Lakram
Address:8007 Georges Rd. Company: DoorsandmoreoftheTC.com
City: Ft. Pierce State: Address: 837 S. Kings Hwy.
Zip Code: 34951 Fax: City: Ft. Pierce State: FI.
Phone No. 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 lendvr or aWttorney before commencing work or recording our Notice of Commencement.
76
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature o ontractor/License Holder
STATE OF FLORIDA
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COUNTY OF u C,- 16
STATE OF FLORIDA
COUNTY OF
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Sworn to (or affirmed) and subscribed before me of
K Physical Presence
Sw rn to (or affirmed) and subscribed before me of
or Online Notarization
Physical Presence or Online Notarization
this -Lq— day of _ 202b by
this jA day of 202V 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
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(Signature of Notary Public- State of FI ida)
ignatur6 of Notary Public- State of Flo id )
Commission No. ,� " ea KAREN D'ONOFR
....
OCommi ion No. �' }
' '�*i MY COMMISSION # GG
237558
n. MY COMMISSION r, :.: 237558
REVIEWS
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REVIEW
REVIEW
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REVIEW
COUNTER
REVIEW
REVIE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Name 140( vt✓ SSOA
Address CU
Street
Doors & More of the Treasure Coast, Inc.
837 S King's Highway
Ft. Pierce, FL 34945
P: (772) 409-4501
CQ� ( 0u W"4—( F: (772) 252-4633
www.doorsandmoretc.com
QUOTE
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City
Phone �� - ��c��- �(�,��� E-mail
Door Size Model Windload
Color: White Almond
ear Out YES
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KeyPad
3
Brown Oak Cherry
Rail* 7 Ft 8 Ft
Re hook-up to existing motor: Yes
Trim: es No
Additional Notes:
O` C/U_.
Accepted by Customer
Signature
$ /575 "o-
q ex.)
$
Permit $ %Z:7
Subtotal $ U / S
Deposit $
Balance $
Date