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HomeMy WebLinkAbout3402-606-0060-100-2Building Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `1i 1 1 Permit Number: TT, r ' k « RHEI`'rD APR 112016 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]MPROVEM ENT LOCATION Address: 803 HOWARD ST Legal Description: INDIAN RIVER ESTATES Property Tax ID#: 3402-606-0060-100-2 Lot No.1 &2 Site Plan Name: Block No. 22E Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION'"OF WORK TEAR OUT AND REPLACE 16'2X7 GARAGE DOOR CQNSTRUCTION INFORMATION itiona work to be Dertormed under this permit check all appy: 11 HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 1775.00 Utilities: Sewer Septic Building Height: 011VNER/LESSEE CONTRAC`fOR Name KATHLEEN MOORE Name: DENVER MILLER Address:803 HOWARD STREET 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.772-489-0631 Zip Code: 34986 Fax: 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. 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: 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. s _Signature of Owner/Lessee/Agent Signature of Contrac or License Holder STATE OF FLORIDA STATE OF FLORID COUNTY OF S � �{— COUNTY OF FLORIDA The forgoing instru ent was acknowledged before me The forgoing instr ment was acknowledged before me this. day of �� 20 `� y this day of < � 201� by (Name of person acknowledging) (Name of person acknowledging) C7— (Signature o Notary Public- tate of Florida ) (Signature of Notary Public-Sta a of Florida) Personally Known I"*"OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced ll Type of Identification Prod,uuceed`` ,,� Commission No. `� © ,��`P�B��Seal) TIFFANY A.LEE Commission No. \�1�C�� Seal) MY COMMISSION#FF 10147 r°`:; •P�B�% TIFFANY A,LEE $ EXPIRES:April 26,2018 * MY COMMISSION#FF 1014 Nr"1MV Bonded Thru Budget Notary Services : prl Revised 07/15/2014 N'rFOFF�oe°c BondedThruBudgetNotaryServic REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS