HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABL INF MU T�COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:`�
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
'PROPOSED.IMPROVE)VIENT LOCATION: . a
Address: 301 SE VERADA AVE
Legal Description: RIVER PARK UNIT 4
Property Tax ID#: 3419-530-0035-000-7 Lot No.35
Site Plan Name: Block No. 32
Project Name:
Setbacks Front Back: Right Side: Left Side:
,DETAILED°DESCRIPTION.QF WORK `
TEAR OUT AND REPLACE 16X7 GARAGE DOOR
CONSTRUCTION INFORMATION.
Additional work
to
o e e orme under this permit—check a appy:E]HVAC .
Ei Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers ElGenerator E] Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1675.00 Utilities:n Sewer 0 Septic Building Height:
OWN ER/LESSEE CONTRACTOR
Name CHARLOTTE SESTA Name: DENVER MILLER
Address:301 SE VERADA AVE Company: D&D GARAGE DOORS PSL
City: PORT ST LUCIE State:FL Address: 435 NW ENTERPRISE DR
Zip Code: 34983 Fax: City: PORT ST LUCIE State:FL
Phone No.772-233-2561 Zip Code: 34966 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 CONSTROCTIQN,LIE10N
_N LAW INF RMgT
.r
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 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.
t
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �45V �._c:�-e COUNTY OF Z:-: �
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ':�)\ day of 20 k!%y this:3 day of �,� 20 by
DENVER MILLERL DENVER MILLER
(Name of person acknowledging) (Name of person acknowledging)
(Signature—of Notary Public-State of Florida) (Signature of Notary Publi&State of Florida)
Personally Known ✓ OR Produced Identification Personally Known v/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. PaY: al) TIFFANY A.LEE Commission No. TIFFANY A.LEE
,o
* MY COMMISSION#FF 101 74 * * MY COMMISSION#FF 101, 4
,arE0FF�0�\o Banded Thru Budget Notary Services �''FOF FI.O�,C Banded Thru Budget Notary Servi s
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS