HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j� ( --6 'Z ( q
Date: Permit Number: �) �j
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Building Permit Application A8
Planning and Development Services 03NNVOS
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION'
Address: 3700 Avenue F
Legal Description: Garden City Farms
Property Tax ID q: 2404-608-0188-000.3
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
}:
DETAILED DESCRIPTION'OF WORK: ` r
Tear out and replace 14 x 15'6 roll up door
Lot No.
Block No.
CONSTRUCTIONINFORMATION:
III
[1HVAC
IJ
Gas Tank
11Electric
OPlumbing
Total Sq. Ft of Construction:
Cost of Construction:
$ 2443.00
Jenne—arecR do d"'y;
;as Piping _ Shutters Windows/Doors
Sprinklers El Generator Roof
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Southeast -Atlantic Corp
Name: Denver Miller
Address: 6001 Bowdendale Ave
Company: D & D Garage Doors PSL
City: Jacksonville State: FIL
Zip Code: 32216 Fax:
Phone No. 772-332-1641
Address: 500 Kitterman Rd
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772-460-7630
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License: 19007
I If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
*cSUPPLEIVIENTALCON5TRt1CTION
LIEN LAW (NF,$ORIUI'ATIO(U
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DESIGNER/ENGINEER: X
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
BONDING COMPANY: x
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 concurmncy 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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.
STATE OF FLORIDA
CO U NTY O F sa wde
The forgoing instrument was acknowledged before me
this 1_3 day of _Z_G� 20 15 by
r
Signature o•� r/��0�Holder
STATE OF FLORIDA
COUNTY OF st Wale
The forgoing instrument was acknowledged before me
this k:i. day of 7S6_;1 2015 by
Denver Miller 1 Denver Miller
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public>State of Florida) (Signature of Notary Public- State of Florida )
Personally Known • OR Produced Identification Personally Known • OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. TIFFANYA. LEE Commission No. \C)��o'-:y4tp1) TIFFANYA.LEE
* * MY COMMISSION 6 FF 1W 4 * * MY COMMISSION f FF t
EXPIEESLAPfil 26,2018 EXPIRES: A an 6. 2
+@oFpoa`O BondedThru Budget Notary Services +,FOFng� Boadedltrv8udget atary
Revised 07/15/2014
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