HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'-, -_ , \t
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
C/ BY
A�� St. LUGie County
RECEIVED
Planning and Development Services Building Permit Application NOV 15 2018
Building and Code Regulation Division ST. Lucie County, PermIttIng
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: _t&qdOWrdDD( T�Av- I
Address: 3406 DALE
Legal Description: HOME ACRES UNIT 2
Property Tax ID#: 2408-604-0013-000-6
Site Plan Name:
Project Name:
Lot No.
Block No.
Setbacks Front Back: _ Right Side: Left Side:
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REPLACE 2 ROLL UP DOORS --- FL # 12111.2
9'8" X 10'
8'X 8'
11HVAC L Gas Tank
11 Electric 1:1 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 6298.00
Piping LJ Shutters lzlWindows/Doors
nklers 1i Generator 11 Roof
S Ft of First Floor:
Utilities..Cn Sewer E]Septic
Building Height:
Roof pitch
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Name CARR INVESTMENT PROPERTIES INC
Name: DENVER MILLER
Address: 1931 CORDOVA RD # 306
Company: D & D GARAGE DOORS PSL
City: FORT LAUDERDALE State: FL
Zip Code: 33316 Fax:
Phone No. 954-214-7948
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
it vatue oT construction is $z5uu or more, a RECORDED Notice Of Commencement is required.
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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 ma estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions yhich may apply.
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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
commencinR work orrecordinia vour Notice of Commencement.
Signature of Owner/ Lesgiee/C�6ntractor as Agent for Owner
Signature of ContraclCor/Lidense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF :S�
COUNTY OF,-7:>t--
The oinginstru ent was acknowledgedbefore me
A Me—M019,C
The forgoing Instcument was ac�nowlecl�lbefore me
this 20
day of �' _Mby
this _qday of J\J(DOT-4Y) 20 — by
J
Name of persq making statement
Name of per "Oking statement
Personally Known v� OR Produced Identification
Personally Known _ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature Notary Public- Vate of F14"
(Signature of Notary Public- State of Florida
4p, . ....... TIFFAMYSuIT
Commission N6G 6114-4-1 COMMiss!0171#13131�q4Wmmission
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Expires W 26.20
'�O� r-F
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17