HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �/ O
Dater I. i l -N. Permit Number: � I199
W ANNED
BY
St. Lucie colint,
Building Permit Ap
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 . Fax: (772) 462-1578
Commercial X
PERMIT APPLICATION FOR: Window/door III
Address: 3001 INDUSTRIAL AVE 3
Legal Description: AIRPORT INDUSTRIAL PARK UNIT 1
f
Property Tait ID #: 1429-501-0045-000-5
Site Plan Name:
Project Name:
Setbacks Fr
Back: Right Side: ILeft Side:
TEAR OUT AND REPLACE 3 GARAGE DOORS
Lot No.1
Block No. 4
AaamonaiworKtDoe errormeo unaertmsperma—cnecKau apply:
11HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: ScI FFtt.� of First Floor:
Cost of Construction: $ 17,218.00 Utilities: Sewer Septic Building Height:
INS
Name BANJO HOLDINGS LLC
Name: DENVER MILLER
Address.3001 INDUSTRIAL AVE 3
Company: D &D GARAGE DOORS PSL
City: FORT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No. 772-408-3111
Address: 435 NW ENTERPRISE DR,
City: PORT ST LUCIE State: FL
Zip Code: 34986 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: TIFFANY@DDGARAGEDOORSPSL.COM
State or County License: 19007
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
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 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 recordinla vour Notice of Commencement.
Sigria ure of Owner/Less7ed7Contractor as Agent for Owner SignZat -ee of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
STATE OF FLORIDA
COUNTY OF STLUaE
The forgoing instrument was acknowledged before me The f`or oing instrument was acknowledged before me
this k � day o �—, 20 aby this 1 day of y ',X� , 20 11by
DENVER MILLER- DENVER MILLER
(Name of person acknowledging) (Name of person acknowledging )
(Signature of -Notary Public- Sate of Florida )
Personally Known X OR Produced Identification Personally Known X
Type of Identification Produced Type of Identification Prc
Commission No. FF101474 (Seal) Commission No. FF101474
;R POa TIFFANYA,LEE
OR Produced Identification
(Seal)
TIFFANY A. LEE
EXPIRES: April 26,2018 p^ EXPIRES :April 26,2018
Revised 07/15/2014 J"FarnaA�e Bonded Thro BudgulNolery Se,kes 9goe ijfp BondedThn Bo dge:NoterySenices
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
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DATE
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INITIALS