HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n�
Date: Permit Number: I i �0 n3- 0000
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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
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PERMIT APPLICATION FOR: Window/door
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PROPOSED INIPROUEMENT LOCATION
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Address: 7602 WINTER GARDEN PARKWAY
Legal Description: LAKEWOOD PARK UNIT 5
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Property Tax ID#: 1301-605-0072-000-9 Lot No.1
Site Plan Name: Block No. 43
Project Name: -
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
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TEAR OUT AND REPLACE 9X7 GARAGE DOOR
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CONSTRUCTION'.IN FORMATION {
Additional work toa nertormed under this permit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters L Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
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Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1526.53 Utilities:)Sewer OSeptic Building Height:
OWNERAESSEE CONTRACTOR.I
Name JACKIE COLOMBO Name: DENVER MILLER
Address:7602 WINTER GARDEN PARKWAY Company: D &D GARAGEjDOORS PSL
City: FORT PIERCE State:FL Address: 435 NW ENTERPRISE DR
Zip Code: 34951 Fax: City: PORT ST LUCIE State:FL
Phone No.772-468-3511 Zip Code: 34986 Fax:
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: 19,007
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone: I'
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone: I
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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;lto build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants tl'at 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 lin 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 recordin&your Notice of Commencement.
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_Signature of Owner/Lessee/Agent Sig re of Contractor/Lice sef Holder
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STATE OF FLORIDA STATE OF FLORID
COUNTY OF COUNTY OF �
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The fo ing instrume t as acknowledg before me The forgoing instrument w s acknowledged before me
this nday of � 20��by this \ clay of 20 by
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(Name of person acknowledging) (Name of person acknowledging")
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(Signature of Notary Public-Skite of Florida ) (Signature of Notary Public-Stat of Florida)
Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Prloducedl r�
Commission No. �0 l TIFFANYA.LEE Commission No. iO1 `� p�PRY�S`E�¢I) TIFFANY A.LEE
* Y COMMISSION#FF 101 74j MY COMMISSION#FF 10 4
EXPIRES:April 26,201 iii * EXPIRES:April 26,20[1:
SOF F��� oneI Inru budget Notary Services l'TeoF F`o�� Bonded ru u ge of r es
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE j
INITIALS
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