HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/10/16 Permit Number:
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: 2808 S 28TH ST
Legal Description: MERRIWEATHER PARK
Property Tax ID q: 2420-802-0078-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
Left Side:
Lot No. 7
Block No. 4
('DETAILED DESCRIPTION OF WORK: III
TEAR OUT AND REPLACE 8X7 GARAGE DOOR
I CONSTRUCTION INFORMATION: III
_I Gas Tank UGas Piping
❑ Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 1330.04
Shutters
SFt. of First Floor: _
Utilities:"n Sewer ElSeptic
ZWindows/Doors
0 Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name KATHERINE MOREIRA
Name: DENVER MILLER
Address: 2808 S 28TH ST
Company: D & D GARAGE DOORS PSL
City: FORT PIERCE State: FL
Zip Code: 34981 Fax:
Phone No. 305469-4407
Address: 435 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax: 772-460-7635
Phone No. 772-460-7630
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: TIFFANY@DDGARAGEDOORSPSL.COM
State or County License: 19007
R Valle orconS rucnnn IS;,Z5Vu ar more, a n[wnucu nonce or commencement IS regwrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
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
STATE OF FLORIDA
The forgoing instrument was acknowledged before me
this \O day of 20)1.0 by
DENVER MILLER'
(Name of person acknowledging
Sig�S�ure of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF—cs
The forgoing instrument was acknowledged before me
this \\ 0 day of 20 kk� by
DENVER MILLER
(Name of person acknowledging )
Personally Known x OR Produced Identification— I Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF01a7J a ",,(Seal) Commission No. FFtmma nr.�y (Seal)
°8�.�, TIFFANYA.LEE fir: ••. k TIFFANY A LEE
MYCOMAIISSIONtFF 101474 w ®P y MY COMMISSION# FF 101474
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS