HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �j 7
Date: 5/12/17 SCANNED Permit Number: / / D CO " J (—/
t " I St. Lucieie County RECEIVEI
Building Permit Application JUN 16 2017
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 Residential
Address: 3375 Oleander Ave
Legal Description: Industrial S/D That part of lot 13
Property Tax ID #: 2428-502-0014-010-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Tear out and replace 12x14 roll up door
Right Side: Left Side:
Lot No. 13
Block No.
CONSTRUCTION'
INFORMATIONS
dlona worK to e
❑HVAC El
e orme un ert
Gas Tank
ml
Ispert—c ec a
❑Gas Piping
_
apply:
Shutters
Z Windows/Doors
❑Electric El Plumbing
[]Sprinklers
❑Generator
❑Roof ❑ Roof pitch
Total Sq. Ft of Construction:
Sq.
Ft. of First Floor:
Cost of Construction: $ 2301.00
Utilities:
0Sewer
❑Septic
Building Height:
OWNER/,LESSEE:°,~
CONTRACTOR.
Name Walter Brolmann
Name: Denver Miller
Address:271 Bermunda Beach Dr
Company: D&D Garage Doors PSL
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 772464-2222
Address: 435 NW Enterprise or
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
MORTGAGE COMPANY:
x 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 1 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
0/ ?'-0 '.-ae. �I�ri s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature o Contractor/License Holder
STATE OF FLORIDA
COUNTY OF St Lucie
STATE OF FLORIDA
COUNTY OF Siwcle
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this L day of C"CNa 20 !1by this kailay of , 20 11 by
Denver Miller I Denver Miller
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida) (Signature of Notary Public- SY (e of Florida )
Personally Known x
Type of Identification
Commission No. FF101474
Revised 07/15/2014
OR Produced Identification
"r TIFFANY A. LEE
MY C0k,MISSl0N # FF 1
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. FF101474 °pa�� (Seal)<IFFANYA.LEE
MY COMh11SSION # FF 101474
74
`FW1` FXPIRES:Aa6126,2018
Bonded Thru Budget N oa ry Services
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