HomeMy WebLinkAboutBuilding Permit Applicationt mailed 014U)
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PERMIT APPLICATION FOR:
Address: ru ��i rB;auff tI r I Il iJ• t IJ I, -1 �� C C t
Legal Description: ��4'l_ iS l�J Vv` I,Ln4 t — -nI k- 1 W+ 1— ( C L 1 ,t)q �� n T1 D 1
IN
Property Tax ID #: 141L4 AC l- ON) "I� ( — Lot No. 11
Site Plan Name: Block No. l
Project Name:
Setbacks Front X s Back: Right Side: Left Side:
1-
raSIall hke cnt 1�I�� �r.�a��e door
CONSTRUCTION INFORMATION;
itiona wor to e pe orme under this permit — c— �iecc all that appy
Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ il�i.00
Sprinklers — Generator
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Name—rYli� r) rrn r
AddressL�'j�-y`.
City: T tLxV f 1 State: �L
Zip Code: �)Ln4Fax: u Ar
Phone No. MW) UY6 T— LA' 3
E -Mail: MIA
I
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
./"Windows/Doors
Roof
Building Height:
Name:
precYrs
Company: MM>�ise ix�c�vcr izrar
Address: 005 7omcchctwk 17r
i
City: Iro=en 4 --bay (9e'eh State: Ft
Zip Code: 32-g37 Fax: 32-I- 777- W3 ,.
Phone No. 772 337-,Vg70
E -Mail: LuesSl�ccunYl�(� ��oh, ��rn
State or County License: ;�1>j1
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State: City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable BONDING COMPANY: _ 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 your Notice of Commencement.
_ Signature o Owner/ Lessee/Agent Signature o Contractor/License Ho der
STATE OF FLOTDA�\��� ��
COUNTY OF
The for oing instr Was acknowledged before me
this day of �)Y�ff , 20 L(P by
of Florida )
Per/ /
/ OR Produced Identification
Type Identi icati Peb&ced
STATE OF FLO I A
COUNTY OF )Vf"\1( Vd
The forgoing inst mentwass acknowledged before me
this day -of U*l 11C Y 20 JLp by
(N me ofperson_a'owledging )
Commission No. / ✓ �iI) BROOKESZIGETI Com rs
MY COMMISSION # FF 2 55
;ave
EXPIRES: ,iune25, P019
Q F+.,�' wil6kmrli:uivuimgrub�ii.��+,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
of Florida )
OR Produced Identification
(Sea I�PU0 ESZIGETI r
My CUIMISSION # FF244655 J
EXPIRES- June 25, 2.019
n
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW
PRECISION DOOR SERVICE OF BREVARD BEHR, HENRY
$0.00
Non TaxableSubtotal
Date: 10/11/2016
110 TOMAHAWK DR 124 QUEEN ISABELLACT
$0.00
Technician: Neil Trepanier
• ` INDIAN HARBOUR BEACH, FL 32937 FORT PIERCE, FL
34949
$0.00
Work Order#: 3204730
(321) 639-6157 (321) 698-4223
INVOICE # 02041667
^��:OIS
Contractor Number 14 -GR -CT -00088
Part # Description
QuantityUnit Price Ext Price Tax
58773 Haulaway
1
0,00
0.00 N
INCLUDES SALE, DELIVERY, INSTALLATION, AND HAULAWAY
16x7 150
58729 16X7 +481-52 LARGE MISSILE IMPACT RATED AND SUSTAINED WIND RATED DAB
1
1760.00
1760.00 N
MODEL 824 HURRICANE GARAGE DOOR
58733 White in Color
1
0.00
0.00 N
WHITE IN COLOR
58738 Short Panel Design
1
0.00
0.00 N
SHORT PANEL DESIGN
DAB Warranty
58997 MANUFACTURER LIFETIME TRANSFERABLE WARRANTY ON PANELS, MFR 5 YEAR
1
0.00
0.00 N
WARRANTY ON HARDWARE; 1 YEAR PDS LABOR WARRANTY
58775 Double Goal Post
1
150.00
150.00 N
DOUBLE DOOR COMPLETE GOAL POST 2X6 PT BUILD OUT
52478 $150 Off Coupon
1
-150.00
-150.00 N
85911 City of Fort Pierce Permit Fee
1
170.00
170.00 N
64959 Notes
1
25.00
25.00 N
SAFETY EYES FIXTURE FOR NEW STYLE SAFETY EYES NEED ONE PAIR OF THEM
Payment Method Transaction ID . Payment Amount
Additional Information
SUBTOTAL FOR 16X7 $1,955.00
Taxable Subtotal
$0.00
Non TaxableSubtotal
$1,955.00
Sales Tax (0.0%)
$0.00
Invoice Total:
$1,955.00
Total Payment:
$0.00
Balance Due:
$1,955.00