HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 711116 Permit Number:
COUNT u
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: 11124 LANDS END CHASE
Legal Description: RESERVE PLANTATION - PHASE2A
Property Tax ID t1: 3321-803-0015-000-8 Lot No.9
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OUT AND REPLACE 2 GARAGE DOORS 16X7 & 6X7
CONSTRUCTION INFORMATION: I
Additional work to ee enormed under this permit — check an apply:
❑HVAC Gas Tank ❑Gas Piping _ShuttersWindows/Doors L
11 Electric ❑Plumbing Sprinklers Generator E Roof
Total Sq. Ft of Construction: SQ. tI —Ft. �I of First Floor:
Cost of Construction: $ 280000 Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE:
Name PATRICIAAMARO
Address:11124 LANDS END CHASE
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 772-242-1809
E -Mail:
Fill in fee simple Title Holder an next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: DENVER MILLER
Company: D & D GARAGE DOORS PSL
Address: 435 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No, 772460-7630
E -Mail: TIFFANY@DDGARAGEDOORSPSL.COM
State or County License: 19007
If value of construction is $2500 or more, a RECORDED Notice of :ommencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: " 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: Citv:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun{v 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 vour Notice of Comme cement. _.
_ Signature of Owner Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF s* LUCIE
The forgoing instrument was acknowledged before me
this I day of 20 Abby
DENVER MILLER'
(Name oofff person acknowledging) Q/p�'
(Sure of NotarypublictStot Florida )
Personally Known x OR Produced Identification.
Type of Identification Produced
STATE OF FLORIDA
COUNTY OFsT-c,E
The forgoing instrument was acknowledged
1 before me
this k day of T\kXV 20,�by
DENVER MILLER
(Name of person acknoowwled'ggiin'g`II
(SiSre uP blit -State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
TIFFANY A. LEE
`s M..`e Commission No. `"w Se�I TIFFANYA.LEE
Commission No. FFrmn4 (S?,gllgMM18810NtFF 107474 FF101474 ."�(. `* f8y)CAMb115810N9FF 707414
EXPIRES'. Apr,126.2018
Pa nrcaealnrvau49elNoury6er:ees V EXPIRES. APO 26,2018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS