HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11` l Permit Number: ) I/' 04s
® RECEIVED
- Building Permit Application
Planning and Development Services NOV 3 0 2015
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: Window/door
PROPOSED IMPROVEMENT LOCATION
Address: 7247 MARSH TERR
Legal Description: MARSH LANDING AT THE RESERVE
Property Tax ID#: 3321-805-0044-000-6 Lot No.79
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK r
x 'I �e
TEAR OUT AND REPLACE 16 X 8 GARAGE DOOR
t
CQNSTRUCTIONQIIUFORMATIOIV :.. .. .:,r >... .. ,.., . .
Additionalwork to e e orme under t ispermit—check a _appy:
❑HVAC be
Tank E]Gas Piping Shutters Windows/Doors
11 ❑
Electric ❑Plumbing Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1945.00 Utilities:In Sewer O Septic Building Height:
OWNER/LESSEEN y me
CONTRACTOR r
Name RICHARD SACCO Name: DENVER MILLER
Address:2 ALDEN GLEN DR Company: D&D GARAGE DOORS PSL
City: WEBSTER State:NY Address: 435 NW ENTERPRISE DR
Zip Code: 14580 Fax: City: PORT ST LUCIE State:FL
Phone No.561-703-3337 Zip Code: 34986 Fax:
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.
""SUPPLENIENT4LC0`N5TRlJCTtON LIEN LAIN INFQRMATION'
rc .
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 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 gent Signature o Cf ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this M day of 20 L'_--n-by this k-1 day of NBVCM)Df 20 IS-by
DENVER MILLERL DENVER MILLER
(Name of person acknowledging) (Name of person acknowledging)
(Signature o Notary Public- tate of Florida) (Signature o otary Public State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
�°'O P/Ja'c TIFFANY A, EF FF101474
Commission No. FF101474 MYCOMMISSIONt F`1�fd9 fission No. .-PFYPU6 (Seal)
* EXPIRES:April2 ,2018 =°,•••••• � TIFFANY A.LEE
"r9 roe * MY COMMISSION 9 FF 101474
April
Revised 07/15/2014
N'srFOPF�°v`Oe BondedThru Budget NotaryServices
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS