HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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`'� 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
PRoPQ EQ,IMPROVEMENT LOCATION.
Address: 6257 Alexandria Circle, Ft. Pierce, 34982
Property Tax I D#: 3410-503-0350-000-0 Lot No.12
Site Plan Name: Block No.
Project Name: Palm Grove
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Remove existing door and install a new 9 x 7 DAB Hurricane Master model 824 w+50/-60 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 1X_Windows/Doors Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,195.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Charles Snelson Name: DeAnn Prue
Address:6257 Alexandria Circle Company:DoorsandmoreoftheTC.com
City: Ft. Pierce State: Address: 837 S. Kings Hwy.
Zip Code: 34982 Fax:__ _ City: Ft. Pierce State:Fl.
Phone No.850-264-8286 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 lend r or an_,@ttorney before commencing work or recordimg yourNotice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORI A
COUNTY OF 73k -L1�_ COUNTY OF - LA�-e_
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
"-. Physical Presence or Online Notarization Physical Presence or Online Notarization
this day of { 202� by this day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known-r`—OR Produced Identification Personally Known )C OR Produced Identification
Type of Identification Type of Identification
Produc d Produc d
c
ignature of Notary Public-State of Lori a) Signature of Notary Public-State of tlOida)
Commission No. D'ONOFRIO Commission No. KAREN DF
10°..... o", ,.MY COMMISSION#GG 237558 `;? MY COMMISSION2375581
'�.•oft Aug
ru No P bli Underwriters �'FoF F�°°�• o ded Thru Notary Public Underwriters
REVIEWS FIR PLANS VEG E
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Doors & More of the Treasure Coast, Inc.
837 S King's Highway
Ft. Pierce, FL 34945
P: (772)409-4501
Doors & MoreF: (772) 252-4633
Trey t Cow «yt ca-J=SPt-04„t \ www.doorsandmoretc.com
QUOTEi
Name
Address ��
Street City
Phone �60—6�_$age E-mail
Door Size / k:7 .M el D-Y Windload 1-5-0
Color: hit Almond Brown Oak Cherry �-\` $ g�`
Insulation �S $ L0
2 m s $
Operator $
Remotes:
KeyPad
Re hook-up to existing motor: �esNo
Trim: Yes N $
Additional Notes: p CC)v�
all
� C-1
Subtotal $
IDeposit $ _ LIoo'
Oo
Balance $
Accepted by Custom Date
Signature