HomeMy WebLinkAboutBuilding Permit Application 'I
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ALL APPLICABLE INFO MUST BE 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: Window/door
PROPOSED IMPROVEMENT LOCATION
Address: 7405 SALERNO RD
Legal Description: LAKEWOOD PARK
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Property Tax ID#: 1301-606-0248-000-7 I Lot No. 18
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Site Plan Name: Block No. 68
Project Name: j
Setbacks Front Back: Right Side: Left Side:'
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DETAI LEr
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D-DESCRIPTION OF-WORK.
TEAR OUT AND REPLACE 9X7 GARAGE DOOR
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CONSTRUCTION INFORMATION ;
Additional work to be nertormed under this permit—check all that apply:
HVAC Gas Tank []Gas Piping _Shutters r l Windows/Doors
Electric ❑_Plumbing Sprinklers Generator I Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 1228.35 Utilities:0Sewer Septic iBuilding Height:
OWNER/LESSEE: f (CONTRACTOR.
_ .-..,.
Name ESTEBAN PANTALEON Name: DENVER MILLER
Address:
Address:7405 SALERNO RD Company: D& D GARAGE DOORS PSL
City: FORT PIERCE State:FL Address: 435 NW ENTERPRISE DR
Zip Code: 34951 Fax: City: PORT ST LUCIE l State:FL
Phone No.475-5639 Zip Code: 34986 Fax:
E-Mail: Phone No. 772-46077630
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: 19007
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRU00N LIEN:LAW INFORMATION;
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: , x—Not Applicable
Name: Name:
Address: Address: l
City: State: City: I State:
Zip: Phone: Zip: Phone: I
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FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City: I
Zip: Phone: Zip: Phone: d
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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 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.
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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 recp_rding your Notice of Commencement.
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_Si nature of 0-wnprf Lessee/Agent Signatfire of Contractti L' ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this QSday of FiC� 20 Eby this ay of 20 ` by
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida ) (Signature of Notary Public-Stail a of Florida)
Personally Known OR Produced Identification Personally Known OR,roduced Identification
Type of Identification Produced Type of Identification Produced.
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Commission No. ����1-Q� ,,k��Seal) Commission No. `0
TIFFANY A.LEE ,a� i
P eal) TIFFANY A.LEE
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* * MY COMMISSION#FF 1014'4 =°' �* MY COMMISSION#FF 1014
gnt ;April 96 20181
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Revised 07/15/2014 ��9TeoFFtiu��0� Bonded ThruoBudget Notary Services s,�T oe� BondedThruBudgetNotary Service
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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