HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: , ftp Permit Number: . O ,
RE CEW"7.
Building Permit Application MAR 16 201E
Planning and Development Services PERIAITTINC
Building and Code Regulation Division St. Lucie County, FI_
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door GC'_
e
PROPOSED£„IMPROVEMENT.LOCATION
Address: 1709 EDGEVALE RD
Legal Description: MARAVILLA PLAZA
Property Tax ID#: 2421-802-0094-000-6 Lot No.8
Site Plan Name: Block No. 8
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAfLED DE5CRIPTIWOF'WORK '
TEAR OUT AND REPLACE 16X7 GARAGE DOOR
CONSTRUCTION INFORMATION
Additional work to bffrtormed under this permit—check all appy:
❑HVAC Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric 0-Plumbing 0 Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 2374.66 Utilities:Sewer Septic Building Height:
OWNER/LESSEE 1_4x CONTRACTOR
Name ELVIRA CARRANZA Name: DENVER MILLER
Address: 1709 EDGEVALE RD 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.460-1284 Zip Code: 34986 Fax:
E-Mail: Phone No. 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
�._
DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: x_Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEESIMPLE 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.
s
gnature of Owner/Lesse Agent Signature o Contract r/License o der
STATE OF FLORIDA STATE OF FLORID
COUNTY OF 5:1�_ COUNTY OF —LV
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_�Q day of 20 kSpby this qday of 1—f1GQXGy_\ ,20 k�,o by
(Name of person acknowledging) (Name of person acknowledging)
4a� 11-9-1
(Signature of Notary Public- tate of Florida ) (Signature of Notary Public-Sthte of Florida)
Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced y(
F�1Fl10(q_ ll tPRYAJJB ��`O��� \ (Seal
Commission No. • "•.`Seal) TIFFANY A.LEE Commission No. ��PnrruB�o
COMMISSION#FF 10147 IFFANY A.LEE
N 'p
EXPIRES:April 26 * * MY COMMISSION#FF 101474
FOF FLOC BondedThru Budget Notary ServicesApril .
Revised 07/15/2014.
�TFOF FLOBonded Thru Budget Notary Services
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS