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ALL APPLICABLE INFO MUST BECOMPLETED FOR APPLICATION TDBE ACCEPTED
/
Date: Permit Number:
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���, m�m�^�^�u"^ov����m��Building Permit Application JUL 13 2015
Planning and Development Services
Building and Code Regulation Division
Z30UVirginia Avenue, Fort Pierce FLJ4982
Phone: (77Z)46Z'l553Fax: (772)462'1578 [ODOODe[CiJl X R8sidential___________
PERMIT APPLICATION FOR: Alteration
Address: 3405INDUSTRIAL 31ST,Fort Pierce FL
Legal Description: AIRPORT INDUSTRIAL PARK -UNIT ONE- K 3 LOT(
propertyTax|D#:1429'501'V039'0VV'0 Lot No. 15
Site Plan Name: Block No. 3
Project Name: Enlarge Overhead DOpening for PursuitD t
Setbacks Front 130' Back: 53' Right Side: 118' Left Side: 170'
DETAILED DESCRIPTION OF WORK'
Enlargement of existing 12'xl4' overhead door opening to 14'x14' and install new door
CONSTRUCTION INFORMATION:
AaamonaiworKtooenerrormed under
this permit -check
all
apply:
E1HV
Gas Tank
0Gas Pi, -
Shutters
Windows/Doors
11 Electric Plumbing
OSprinklers
Generator
Roof
Total Sq. Ft of Construction: NIA
Sq. Ft. of First Floor: N/A
Cost of Construction: $ 9,755.00
Utilities: D Sewer D Septic
Building Height: 16'-0"
OWN E U_"LESSE
CONTRACTOR:,
NamePursJ"it �oasjnc
Name: Douglas Davis
Address: 3901 St. Lucie Blvd
Company: Richard K. Davis Construction Corporation
City: Fort Pierce State: FL
Zip Code: 34946 Fax: 772-465-6177
Phone No. 772-465-6006
Address: P.0 Box 186
City: Ft. Pierce State- FL
Zip Code: 34947 Fax: 772465-7665
Phone No. 772461-8335
E-Mail:
Fill in fee simpleTitle Holderon next page (if different
from the Owner listed above)
E-Mail: bmclam@rkdavis.com
State or County License: CGCO13084
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
0
0
J.CTION LIE1
Not App
Name: PaulwelCh.lnc
Address: 1984 Biltmore St.
City: PortStAude State: FL
Zip: 34984 Phone: 772-785-9888
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: TomanaLLC
Address: 1550 Thumb Point or
City: Fort Pleme, FL
Zip: 34949 Phoi
772465-9565
MORTGAGE COMPANY: X NotApplicable
Name:
Address:
City: —State:
Zip: _ Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conrlict 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 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
commencine work or recordinE vour Notice of Commencement.
'& JAAA Q..j
Signature of Owner/ Lessee/Agent
STATE OF FLORIDA '8-vzr
COUNTY OF
The forgoing instrument was acknowledged b
,,,gfore me
this 9fM day of 20 -Zrby
(Name of person acknowledging)
low
a Man MIN M�
(Signature of Notary Public- State of Florida )
Personally Known V/ OR Produced Identification
Type of Identification Produced_ Wrin' A R nXW
NOTARY PUBLIC
Commission No. eY11P1 7 )STATE OF FLORID
IMC=m#EE118017
Revised 07/15/2014
q3n-�L"D Gwrv) s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF C;L. 44�,,aC
The forgoing instrument was acknowledged before me
thisA#dayof t,&Y 201,r
7 by 'P
p4os
(Name of person acknowledging)
(Si 9117 '6NOtar;Public- State of Florida
Personally Kn ow
Type of Iden ica
tif
Commission No.
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