HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED _ � o
Date: Permit Number_ J10
`I
1;7 L ��
Building Permit Application
Planning and DevelopmentSen4ces
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: GARAGE DOOR
PROPOSED IMPROVEMENT LOCATION
Address: 1012 ECHO STREET
Residential X
Property Tax ID #: 3403-502-0263-200-0 Lot No. 233
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL 10 X 7 GARAGE DOOR
NOA -NO. 20-0901.25
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: "
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _Gas Piping _Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1140.00
Generator
Sq. It of First Floor_
Windows/Doors _ Pond
_ Roof Pitch
Utilities _Sewer _Septic Building Height:
.OWNERAESSEE: '::.
CONTRACTOR: .
Name ANNE P_ SUIT
Name:
Address: 9619 KNOLLWOOD LANE
Company:
Address:
C-ay. FORT PIERCE State:_
Zip Code: 34951 Fax:
City: State:
Phone No. 772 370 4272
Zip Code: Fax:
E-Mail: APERKSUIT@AOLCOM
Phone No
Fill in fee simple Title Holder on next page (if different
E-Mail
from the Owner listed above)
State or County license
It value of construction is 25W or more, a RECORDED Notii_e of Commencement is required.
If value of HAVC is $7,5W or more, a RECORDED Notice of Commencement is required.
i
SUPPLEMENTAL CONSTRUCTION LIEN CAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: wA
Name: NIA
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: N/A
Name: N/A
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFRDVIT: Application is hereby made to obtain a permit to dothe work and installation as indicated.
1 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 concurnznry 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 vour 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 5A L.-4e-i
COUNTY OF
SVfn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
h ical Presence or Online Notarization
Physical Presence or Online Notarization
this day of ff )A V . 2020 by
this day of . 2020 by
Name of Oerson making statement.
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of ldentifbatio
v2-t5 Uc
Type of Identification
Produced V l .
Produced
r PU& MIC"
C MMW0W
(Signature of Notary Public- State14*0,
ignature of Notary Public- State of Florida)
U-7gC�iExpires FOWM 4,Commission
fO I t
No. / 1 I)
mrriission No_ (Seat)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/blzu