HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l'VV"'t• Dt (�
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
PRC?FOSED I`I1JIF'RQVEMEIVT L>jCAT�C3N
Address: 9439 POINCIANA CT
Legal Description: MEADOWOOD j
Property Tax ID#: 1334-503-0043-000-6 Lot No.41
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
NWI
DEAICED DESCRIP`!`ION OF WORK eg �' f � '
TEAR OUT AND REPLACE 16X7 GARAGE DOOR
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Additional work to e e Orme un ert ispermit–checkaappy:
❑HVAC D Gas Tank Gas Piping _Shutters � Windows Doors
— ❑ p g ❑� /
❑Electric ❑ Plumbing Sprinklers ❑Generator E] Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 1485.00 Utilities: Sewer❑Septic Building Height:
Name ALFRED MCGRANE Name: DENVER MILLER
Address:9439 POINCIANA CT Company: D& D GARAGE DOORS PSL
City: FORT PIERCE State:FL Address: 435 NW'ENTERFRISE DR
Zip Code: 34951 Fax: City: PORT ST LU,CIE State:FL
Phone No.772-465-6727Zip Code: 34986 j 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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SU1?P(.ElUINTL CQNST�UCTION I.I �1 LAIN lNF3RMAT[C3N( j<
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: ' X_Not Applicable
Name: Name:
Address: Address:
City: State: City: 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:
Zip: Phone: Zip: Phone:
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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 or an attorney before
commencing work or recording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/Licensl Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF �<�� L�_�2_ COUNTY OF
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this \ day of ` 20 �by this day of 20 LP by
(Name of person acknowledging) (Name of person acknowledging)
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(Signature o otary Public-Ntate of Florida) (Signature of Notary Public-SNate of Florida)
Personally Known OR Produced Identification Personally Known ✓ ORI Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Ff:'Ioi42k, ;%y P:B eal). TIFFANYA.LEE Commission No. FF �oJ(oLk,'r',P&al)
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MY COMMISSION#FF 10147 2!5ca :Uae' TIFF I : ' •,`'� TIFFANY A.LEE
EXPIRES:April 26,2018 MY COMMISSION#FF 101,474 * * MY COti9MISSION#FF
qr oe` one ru uage riN ,
Revised 07/15/2014 fOFF� �/FrfOFFIO�y\o� BondedThru Budgot Notary Services �ATfOFFIOBon ThruBudgeft!
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I' SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
CO M P LETE
INITIALS
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