HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/15/2018 �i��rro Permit Number: lJt/�ttFl�
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FEB 2 2 2010
Permitting09NDepartment
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a I St. Lucie County
Building Permit Application
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
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMIIENT LOCATION:
Address: F:Q p
Legal Description: " ° WIROFM III OF 11<OF NN1LLlESSC LRW-MD511]11 1O1W99 FTOF E,20FNW IN GI SW tl<OFM t/i MD E99 OFW',N ROF EI OF W,ROF 5W 1/I OFM VKE55840 FT
AND LESS AS IN ORDER OF TAKING CA M-131{ W11 OF SW 114 OF SW 19 OF NW 114 AND W 99 FTCF E W OF SW 114 OF SW 1/4 OF NWIR-LESS RD RMAND LE33AS IN CA KV-15745 OR 31�(9]2AC)(OR 3MG2429)
Property Tax ID #: 2407-232-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name: St. Lucie Battery & Tire Overhead Door
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF.WORK
- :.... Y - .ate•: ,. _ , .rT '- ,. art :.
Y..
Remove 2 - 12' x 10' overhead doors and replace with 1 - 16' wide x 14' high sectional door and hook
up the door operator and push button control
CONSTRUCTION INFORMATION::.
Additionalwork to e e orme un ert )spermit—c ec a appy:
El ❑
❑HV, Gas Tank ❑Gas Piping _ Shutters Windows/Doors
ZElectric 0 Plumbing []Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 38,000 Utilities"Sewer OSeptic Building Height: 17'8"
OWNER/LESSEE
_.
CONTRACTOR: ,
Name .L�,kC% d l�(
`M Name: a-ir1Y1 W66
Address: UO
Company: Marmer Construction, Inc.
City: 14. Vi't_Ym State: EL_
Address:'W%\ �S �AWU • �� SOI�a�
City: State: FL
Zip Code:3gCi"1—j Fax:
Phone No.
Zip Code: 33870 Fax: (863) 382-9851
E-Mail:
Phone No. (863) 314-9851
Fill in fee simple Title Holder on next page ( if different
E-Mail: danielle@marmerconstruction.com
from the Owner listed above)
State or County License: CGC1516900
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address: \ 1 e•
Address:
City: e
State:F-L
City:
State:
Zip: `t o Q Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Not Applicable
BONDING COMPANY:
_Not Applicable
Zip: Phone:
Address:
Zip:
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 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
commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Licens6 Holder
STATE OF FLORIDA
STATE OF I'll ORIDA
COUNTY OF
COUNTY OF\OWAS
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledge before
day 20 by
%: In
4 RIO
this _ day of 20_ by
this of
to uH
Name of person making statement
LL
Name of person making statement
Personally Known OR Produced Identification
Personally Known �_ OR Produced Identificati
r�
Type of Identification
Type of Identification
�1
Produced
Produced
W Oa B
,
O
(Signature of Notary Public- State of Florida )
(Signature of Notary Public- State of Florida )
'
Commission No._ (Seal)
Commission No.�_ 'QIAXVR (Seal)
'•S" 9
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
CS
Rev.8/2/17