HomeMy WebLinkAboutDwyer Garage Door Permit App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater r 19 -Al Permit Number:
M' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
RC)P+fSEQ tMPRC�lE :ENT LaCTItN
Address: -3 S �i1 X V M,4 ive_ _NLIM eikj, 9
Property Tax ID#: q4 316`SI D-0004o- 000- Lot No. �-
Site Plan Name: W ) Je L.-�,/{d Block No.
Project Name: ,�W��� ( A! &Om
dTAILE[} fi�ESCRIRTIC�N�QI` QRK, � E
e A 3 e �Tzs �. ; T m N 1 4 p
% od o - )oIS', ;-,;1..
New Electrical Meter Second Electrical Meter __"�'% (Affidavit required)
CaNSTRUCTI(7N NEfJI�MATIf�Nfi
1 � �
5 a
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors _Pond
_Electric _Plumbing p _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:V y C� 14.qe_ Sq. Ft. of First Floor:
v�
Cost of Construction: $ Z YSV Utilities: —Sewer _Septic Building Height:
o � RESsE. � �� aR Y
Name CAA f 1 w 0z Name: Elb 7U'3
Address: y.2(o e� Company:
City: (3AP-L>f' bu State:SC- Address: f Sf
Zip Code:v2 Fax: City: S -Io State: l,•
Phone No. Zip Code: 3q9 9-7 Fax:.Z2b' ;2077---
E-Mail: Phone No 1-7 /�' ;2
Fill in fee simple Title Holder on next page( if different E-Mail Ve Q'h"VAA CDAA
from the Owner listed above) State or CountyLicense C )5737
6 Ay£ -5-k..g n o
LIfva
e of construction is 2500 or more,a RECORDED Notice of Commencement is required.
e of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CQN T, "TION 1:;I N
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 lender or an attorney before commencing work or recording our Notice of Commencement.
Sign ure of wner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF j�Iif M rC f
Sw rn tp(or affirmed nd subscribed before me of Physical Presence or Online Notarization
thi j(P day of _.201=1 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificati n Pr d
(Signature of Notary Public-State of Florida ) DAVE D.MORELLI
Commission#HH 110877
Commission No. (Seal) Pq ExOres May 8,2025
80r9W TbN Troy Fein IMtnnce$&3657019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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