HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Y ✓
Date:��_,Y—f Permit Number:/')���t /I,
- 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 Residential X
PERMIT APPLICATION FOR: or
PROPQSED IMPROVEMENT LOCATIONW... y.
Address: 865 SE CORTO TERR
Legal Description: RIVER PARK UNIT 7 BLK 66 LOT 7
Property Tax ID#: 3419-550-0058-000-6 Lot No.7
Site"Plan Name: Block No. 66
Project Name:
Setbacks Front Back: Right Side: Left Side:
3 fy
DETAILED DESCRIPTiON. 71=WORK u
TEAR OUT AND REPLACE 9X7 GARAGE DOOR
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COyNSTRUCTION INFORMATION h
Additional work toe e orme under this permit–c ec a appy:
HVAC Ei Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 1135.00 Utilities: Sewer Septic Building Height:
OWNER,LESSEE x y; CONTRACTOR
n, ,;.,. .,..as a, r..�-.-- .............
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Name THOMAS SCHNEIDER Name: DENVER MILLER
Address:865 SE CORTO TERR Company: D&D GARAGE DOORS PSL
City: PORT ST LUCIE State:FIL Address: 435 NW ENTERPRISE DR
Zip Code: 34983 Fax: City: PORT ST LUCIE State:FL
Phone No.917-494-3121 Zip Code: 34986 Fax: 772-460-7635
E-Mail: Phone No. 772-460-7630
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: 19007
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAt ! (NFO,PMATION
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 thepermit 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 re,�Iew: 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.
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Ignature of Owner/Lessee/Agent ignature of Contractor/L ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this —1 day of N\c, l 20 JE�by this 7 day of MAY 20 by
DENVER MILLERL DENVER MILLER
(Name of person acknowledging) (Name of person acknowledging)
(Signature of otary Public- tate of Florida) (Signature of Notary Public- tate of Florida)
Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. EN-_ \Q��-7���vQeal) Commission No. �F (� �",".�.:;�8��� (SeaVFFANYA.LEE
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TIFFANY A.LEE * * MY COMMISSION#FF 101474
* MY COMMISSION#FF 101474 EXPIRES:April 26 2018
Nf S:Apri126,2018 IIFOFFJ Bonded Thru Budget Notary Services
Revised 07/15/2014 9TFOFFLO�\O BondedThruBudgetNotaryServices
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS