HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /n�22
Date: Permit Number: �IQ��JU03
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
IRR' SE LO ;
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Address: 8116 LINKS WAY
Legal Description: POD 26 AT THE RESERVE
Property Tax ID#: Lot No.7
Site Plan Name: I Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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D �AILED DE RIPTION CSF W(7RK f _ z
TEAR OUT AND REPLACE 16X7 GARAGE DOOR
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CC)NSTRUCTIC}N INFORNfATIO`N h`
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Additionalwork to be nertormed under this permit–check k a appy:" I,,.,`
1]HVAC Gas Tank Gas Piping _Shutters � Windows/Doors
11 ❑ a
Electric ❑ Plumbing Sprinklers E Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: Sewer F—]Septic j Building Height:
011ICNER/LESSEE CCiNTRACTOR
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Name JAMES SHELNUT Name: DENVER MILLER ;I
Address:8116 LINKS WAY Company: D& D GARAGEIDOORS PSL
City: PORT ST LUCIE State:FL Address: 435 NW ENTERPRISE DR
Zip Code: 34986 Fax: City: PORT ST LUCIE State:FL
Phone No.508-414-3510 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.
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St1 'PI.EMENTAICQNSTRUCT'ION
L1EN LAW INFaRMATiC1N
DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: I State:
Zip: Phone: Zip: Phone: it
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FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address: l
City: City: I
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 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 oar an attorney before
commencing work or recording our Notice of Commencement.
s
_ ignature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDAC STATE OF FLORID
COUNTY OF \ ,� . ��, i�- COUNTY OF �T
The f`or oing instrume t was acknowledged before me The for oing instrumpt was acknowledged before me
this `day of 20 ��y this 20 by
(Name of person acknowledging) (Name of person acknowledginig)
(Signature of Notary Public-St a of Florida) (Signature of Notary Public-Stat of Florida)
Personally Known ✓ OR Produced Identification Personally Known �_/ ORIProduced Identification
Type of Identification Produced Type of Identification Produced
l�—� CPRY,P�e� TIFFANY A.LEE ,c `
Commission No. 1 ` I)MY COMMISSION#FF 101 7�ommission No. y� \'� ��� Pa
EXPIRES:April 26,2018 ;I a ;� �I� TIFFANY A.LEE
BondedThru Budget Notary Se ices MY COMMISSION#FF 10 4
I , FXPIRER-Apri 26 P01
Revised 07/15/2014 N��TFOFF�O�`oP Banded ThruBudget Notary Sen as
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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