HomeMy WebLinkAboutpermit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/19/2021
Permit Number:
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial YES Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:REPLACE 1OX14 ROLL UP DOOR
Address: 803 S KINGS HIGHWAY FORT PIERCE FL 34945
Property Tax ID #.. 2311-800-0041-000-6
Lot No.
Site Plan Name:
Block No.
Project Name: 803 VENTURES LLC
�?.G - rc° 3 icyFz
•. • x £,vc«+Nun
REPLACE 1OX14 JANUS 31001M
'�C►l,�ina I Fly �1y � - �
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
-It/—Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator
_ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3138.00 Utilities: —Sewer —Septic
Building Height:
Name 3b3 V6r4Ures L.LC
Address: r1G15 4_�
City: state:!
Zip Code: 34CI L4_V5 Fax:
Phone No.-n2 • '104? • O-125
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: ( 1)r1Y 1e_ Cn
Company: 7 Can=!. . CiCny_S
Address: L-1.35
City: PS l State:Fl
Zip Code: 34CrMo Fax: `�"1'Z•�-IIoO`-i(o
Phone No —Y-l2 • ` UC) •--tlo3D
E-Mail e. S 12S) 6nnn
State or County License - �-
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:
Name:_
Address:
City:
Zip:
Phon
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
State
Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
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 attorney before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORID, STATE OF FLORIDA
COUNTY OF 4l I4 Lode, COUNTY OF I�t ' Li o
Swogh to (or affirmed) and subscribed before me of
i/' Physical Presence or Online Notarization
this day ofyf 5 F— 2020 by
Conn: F. 6"rIAC- .
Name of person making statement.
Personally Known J OR Produced Identification
Type of Identification
(Signature of Nofary Public- State of 'd0% MICHAELWAI
Commission 0 HH
Commission No. 814017991 N. Expires February
1'rFn .'d1 9WAW Thu &WWN06
Swor to (or affirmed) and subscribed before me of
V Physical Prese ce or Online Notarization
this 'ZF day of ADP + 2020 by
�o i`t rT' � �i('filtiG
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
ature of Notary Public- State of mq%' L
Commission # HH
nission No. � 1-1 r ) Expires
�rForr1L ae"ThuQ**tNOL
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.