HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: lh•'1 S-12 SCANNED Permit Number:
BY RECEIVED
St. Lucie County
Building Permit Application OCT 2 5 2018
Planning and Development Services ST. Lucie County, Permitting
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: To Select from dropbox, click arrow at the end of line G
Address: 702 S MARKET AVE
Legal Description: KELLEM'S S/D E 215.77 FT
Property Tax ID #: 2434-601-0013-090-5
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
TEAR OUT AND REPLACE (2) 12 X 14 ROLL UP DOORS
FL # 12765.3
Lot No.
Block No.
CONSTRUCTION INFORMATION:
%
IC I
'�Addifional work to e e orme under t—checkispermit
DHVAC E] GasTank DGas Piping
a
appy:
_Shutters
Z Windows/Doors
11 Electric 0 Plumbing
Sprinklers
11 Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Ft
S Ft. of First Floor:
Cost of Construction: $ 7232.00
Utilities.
Septic
Building Height:
-OWNERjLESSEE:
•. � .
CONTRACTOR: Jt. ,.N.
-
Name COMMONWEALTH MULTI -PROPERTIES GROUP INC
Name: DENVER MILLER
Address:16370 NW 8TH DR
Company: D & D GARAGE DOORS OF PSL
City: PEMBROKE PINES State: FL
Zip Code: 33028 Fax:
Phone No.772-465-2530
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address-
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
commencin¢ work or recordiniz vour Notice of Commencement.
Sign Owner/ Less tractor Agent for Owner
Sigs�re Contractor/License Holder
e o e o as
of
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �! -A— \_\ c _
COUNTY OF 5�
The for�gg,oing instrument was acknowledged before me
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The f�orggoing instrument was acknowledged before me
0C.N-6`0�,
thiso� day of QA A-ie�C , 20� by
thisol> `i" day of 20ff by
Name of person making statement
Name of personJnaking statement
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
1
(Signature of Notary Public- tate of Florida)
(Signature of Notary Public- State of Florida )
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DATE
RECEIVED
DATE
COMPLETED
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Rev. 8/2/17