HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO1 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i-�-�3 \c� \ 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
Address: 6000 Tangelo Drive
Property Tax ID #: 3402-610-0393-000-7 Lot No.6
Site Plan Name: Indian River Estates Unit 9 Block No. 84
Project Name:
DETAILED DESCRIPTION OF WORK: �
Remove and haul away exsiting garage door. Install new 8 x 7 Dab 824 white +42 / - 52 PSF
New Electrical Meter Second Electrical Meter
R
ais 3S
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: $ 1310.00 Utilities: —Sewer _ Septic Building Height:
IMMENNINIM
Name Dimas Leitao Name: DeAnn Prue
Address: 6000 Tangelo Dr. Company: Doors & More of the Treasure Coast, Inc.
City: Ft. Pierce, FI.34982 State: _ Address: 837 S. Kings Hwy.
Zip Code: 34945 Fax: City: Ft. Pierce State: Fl.
Phone No. 772-267-9593 Zip Code: 34945 Fax: 772-252-4633
E-Mail:deann@doorsandmore.com 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 CRC-1331540
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.
DESIG ER Not Applicable MORTGAGE COMPANY: Not Applicable
Name: = Name:
Address: Address:
City: Staie—. City: State:
Zip: Phone Zip- Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Applicable
—Not
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 Counlmakes 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 ancovenants 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 commencine work or recording your Notice of Commencement.
--- - ------
Signature Of owner/ Lessee/Cont4ctoi% as Agent for —Owner
STATE OF FLORIDA
COUNTY OF - - 1l,. %__`4-1,
Sworn to (or affirmed) and subscribed before me of X:_ Physical Presence or Online Notarization
this day 4 2q2A by
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida
Commission No. (Seal) KAREN D'ONOFRIO
MY COMMISSION # GG 2.37558
EXP IRES: August 5, 2022
Bonded Thru Notary Public Underw;;!
. .... . ....... T
REVIEWS FRONT ZONING SUPERVISOR PLANS I VEGETATION SEA TURTLE MANGROVE
T
W �R
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
BATE
RECEIVED
Rev
DATE . ......... .
5COMPLETED720721,
Appointment Date:
Time:
Doors & More of the Treasure Coast, Inc.
837 S. King's Highway
Fort Pierce, FL 34945
Doors &More (772) 409-4501
Treasure Coast Garage Door Specialist �� www.doorsandmoretc.com
GARAGE DOOA QUOTE
Name 6
Address (P 0o C) \ d
eet
Phone ��"^� �— S %� E-mail
Door Size Windload --�
Colo : White Almond
Trim: (�YeTD No
Tear out
Insulation
Brown Oa Ch '
Fin R/ lush
2 x 6 PT Jambs MQ-z,X --Cg 7n(, ov ncr� Stc�-e_
K e, 6 , — Viz,,C_
Operator�X_ -e;n, �-,e
Remotes: 1 ((j) 3 Rail: 7 Ft 8 Ft
------------
Keypad: Yes No
Additional Notes: ,�.
Accepted by Customer
<�_ - 0�
ermit
Total
�
P a� Deposit
Balance due at installation
Date
City
BeadBoard Horizontal
$ IV6
$
$°O
$
$
v-2
G
Signature