HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: Permit Number:
dir! JUN 17 BI6
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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
PERMIT APPLICATION FOR: Window/door
"PROPOSED IMPROVEMENT LOCATION
Address: 8735 S Ocean Dr
Legal Description:
Property Tax ID#: 3534-111-0005-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIC!N O WCIRK:
Tear out and replace (4) 9x7 garage doors on golf cart building
CONSTRUCTIC}N INFORMATION
..
Additionalwork toe e orme under this permit—check a appy:
HVAC Ei Gas Tank ❑Gas Piping M
Shutters Windows/Doors
Electric 11 Plumbing Sprinklers Generator E] Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 4125.00 Utilities:Sewer Septic Building Height:
OWN, ER/LESSEE`:
Name ISLAND DUNES COUNTRY CLUB INC Name: DENVER MILLER
Address:8735 S OCEAN DR Company: D & D GARAGE DOORS PSL
City: JENSEN BEACH State:FL Address: 435 NW ENTERPRISE DR
Zip Code: 34957 Fax: City: PORT ST LUCIE State:FL
Phone No.772-979-3570 Zip Code: 34986 Fax:
E-Mail: Phone No. 772-460-7630
Fill in fee simple Title Holder on next page(if different E-Mail: TIFFANY@DDGARAGEDOORSPSL.COM
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'I.AW IIVFQRW 10
. pp MORTGAGE a,
DESIGNER ENGINEER: X Not Applicable 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 recordin our Notice of Commencement.
_Signature of Owner/Lessee/Agent Signature of Contract r icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this NO day of 20 Mby this 10 day of 20 Wo by
DENVER MILLER1 DENVER MILLER
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pub ac-State of Florida) (Signature o otary Public-S to of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF10147a �,�(Seal) TIFFANYA.LEE Commission No. FF101474 Ryp,4Sea1)
MY COMMISSION#FF 101474 °`P '••,ob TIFFANY A.LEE
* > * PIRES:April 26 2018 ,� * MY COMMISSION#FF 101474
r9TE0F Fl°�\o Bonded Thru Budget Notary ServicesN„FrFQ�,°�\oP Bonded T1"Itb:hru gpNotary 2Uf8
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS