HomeMy WebLinkAbout8817 Marcelle Permit Application'All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date 4M2021
Permit Number:
0 7
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential xxx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Exterior Door Replacement
- - ------ ---
Address: 8817 First Tee Rd. Port St Lucie, Fl. 34986
Property Tax I D #: 3334-500-0054-000-3
Site Plan Name: POD At The Reserve Phase 1 Kingsmill lot 43
M;trn,n) en rn=in einnr rfanine-=mont
Project
Lot No. 43
Block No.
Remove existing non -impacted rated entry door and replace with impact rated unit / trim and paint as needed
New Electrical Meter __ Second Electrical Meter
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:
QWN:ER/L9,SSEE:
,CONTRACTOR:
Narne—Hvan! ftny 8 1 cquall-fino Nlarccllfc
Name:C
Address: 8817 First Tee Rd
Company: Giibben Construction / Drearnmaker Bath & Kitchen
City: Port St Lucie State:
Address:6118 SE Federal Hwy
Zip Code: 34986 Fax:
City: Stuart State: F1
Phone No.
Zip Code: 34997 Fax: 772-286-2072
E-Mail:
Phone N0772-288-6255
Fill in fee simple Title Holder on next page (if different
E-Mail dave@dreammaker-stuart.com
from the Owner listed above)
State or County License CGC1 507879
AD trd;ut: U1 LUJINJULLIM 15 /-DUU Or More, a Kt1_UHUtU NOTICe 07 LOmmencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Marne:
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
with lender or an attornev before commencing work or recordine vour Notice of Commencempnt-
jf
Signature of OwnQr Le6ee/Contractor as Agent for Owner
Sign-iature of Contracto-r7license Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
S_w9rn to (or affirmed) and subscribed before me of
sical Presence or Online Notarization
4SAY
Swprn to (or affirmed) and subscribed before me of
P sical Presence or Online Notarization
day of 2020 by
�his14N day A9��%'C 2026
of , -by
Name of peison making statement.
Name of person making statement.
Personally Known. OR Produced Identification
Personall Known OR Produced Identification
Type of Identification
ti
ype o Identification
Pro uced
P&oduced
(Signature of Notary Ct.+- gira
(Signature of Notary P
us_
DAVE D. MORELLI
D
AVE D. MORELLI
Commission No. corrimissioqtft 10877
Commission No.
commisslo 0877
Expires May 8, 20215
Banded Tin Troy Fain insurance W N8555-70%
Expires Me 8, 202
B=W Tbru Troy Fain insurance 800-385-7019
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