HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: aT1 \6 Permit Number: 4 a— 4 a0 a
RECEIV-:0 FEB 10 2916
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: Window/door
PROPOSED INIPROVEMENTIOCATION:
Address: 4700 REGINA DR
Legal Description: REGINA PALMS
Property Tax ID#: 3403-501-0099-000-4 Lot No.1
Site Plan Name: Block No. 5
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED'DESCRIPTION:bF`WORK.
TEAR OUT AND REPLACE 9X7 GARAGE DOOR
,CONSTRUCTION INFORMATION.
Additional work to be nertormed under this permit—check all appil
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers 0 Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1215.00 Utilities:Sewer Septic Building Height:
QWNER/LESSEE CONTRACTOR:
Name JOHN VANCE Name: DENVER MILLER
Address:4700 REGINA DR Company: D& D GARAGE DOORS PSL
City: FORT PIERCE State:FL Address: 435 NW ENTERPRISE DR
Zip Code: 34982 Fax: City: PORT ST LUCIE State:FL
Phone No.772-940-9497 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: TIFFANY@DDGARAGEDOORSPSL.COM
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 1AW INFORMATION
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.
_Signature of Owner/Lessee/Agent Signa ure of Contractor/License Holder
STATE OF FLORIDA- STATE OF FLORIDA
COUNTY OF �uL\� COUNTY OF �\The forgoing forgoing instru nt was acknowledged before me The forgoing instrument was acknowledged before me
this�day of rc 20'lam by this ��day of Fib 20 `� by
(Name of person acknowledging) (Name of person acknowledging)
1,9 �`-
(Signature of Notary Public-5 to of Florida ) (Signature of Notary Public-Stat of Florida)
Personally Known V OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 0oP,YP.1 TIFFANY A.LE CC F F�01�-1�aoaa�!B@I) TIFFANY A.LEE
Se )* MY COMMISSION#FF Oi�l4mmission No.
EXPIRES:April 26, 018 *1W, 44*
� * MY COh9MISSION#FF 1 �!
d S:A ril 26,21 1
",,OF 0'P one a `rrge Bonded Thru Budget Notary Se .es
.'OF 9 y
Revised 07/15/2014
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