HomeMy WebLinkAboutWilson permit appl.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/4/21 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
C3PO$ED IMPROVEMENT LOCATION:
Address: 8604 Deland
Property Tax ID #: 1301-609-0044-000-6 Lot No.10
Site Plan Name: Block No. 4
Project Name: Lakewood Park
Remove exisiting doors and install16 x 7 new DAB Hurricane Master model 824 w +36 /- 44 PSF
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: $ & C-c:, Utilities: —Sewer —Septic Building Height:
OWNERI LESSEE: CONTRACTOR:
ameTroy Wilson Name: DeAnn Prue
Address:8604 Deland Ave. Company: DoorsandmoreoftheTC.com
City: Ft. Pierce, FI. State: _ Address: 837 S. Kings Hwy.
Zip Code: 34957 Fax: City: Ft. Pierce State:Fl•
Phone No.772-418-7144 Michelle 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 le der or an attorney before commencing work or recordigg your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF M3 •
COUNTY OF � • ( s 9, S
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
_K Physical Presence or Online Notarization
this `�_ day of 12020 by
this day of 202q by
Name of person making statement.
Name of person making statement.
Personally Known _L� OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ignature of Notary Public- State of I" )
Signatu a of Notary Pubtie`�• o o iN D'ONOFRIO
.:, �: •. # GG23752 5
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k OM IS
Commission No. EX � I-ugust5, 22
Commission No. D'ONOFRIO
Thru Notary Public UndenNdters
MY COMMISSION # GG 237558
,f d °'•` Bonded
9rFOF V " P .
REVIEWS FRO ThruN t s
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Doors & More of the Treasure Coast, Inc.
srcaswr C0.60 Garage ptxu Sprc1311st
QUOTE
Name AI Llfrdrf ,a Jar�;4 ( f'� �i fOYI
Address
Street
837 S King's Highway
Ft. Pierce, FL 34945
P: (772) 409-4501
F: (772) 252-4633
www.doorsandmoretc.com
1-12-519- 60/a
Phone I%oZ- `� �- �lLI E-mail
Door Size Model",bw
r
Color: White Almond Brown Oak Cherry
Tear Out
1 nsuh t 71-
2 s p
Operator L
103 Rail: 7 F 8 Ft
KeyPad
City
Windload 1- 3& V
$ 15_�s.lto_
$ f S- co
Re ho -up to existing motor: Yes ----No
Trim: Ye� No
Additional Notes: >01i - 'V �✓���
AddyIv c��s ��✓ �-
L,., o r ti
Permit
Subtotal
OV` k
Deposit
Balance $
Accepted by Customer - !� Date
Signature