HomeMy WebLinkAboutBuilding Permit Application ' ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: 02/06/17 Permit Number:
RECEFEB 0 6 2917
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 IMP,RQI/EMENT LOCATI'O.N
Address: 6904 Deland Avenue, Fort Pierce, Florida 34951
Legal Description. Lakewood Park- Unit 10-BLK 127 Lot 12(Map 13/01S)(OR 523-999)
Property Tax ID#: 1301-612-0193-000-5 Lot No. 12
Site Plan Name: Block No. 127
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED I�ESCRfiRT[Ofi�l OF WORK'''
_� X33 E
Remove And Replace 16 x 7 Garage Door
x
CONSTRUCTI"ON INFORMATfiQN 3
{ i
itiona wor. to e .a orme un ert is permit—check a appy:
❑HVAC 11 Gas Tank Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,240.00 Utilities:Sewer ElSeptic Building Height:
P,WNER/LESSEE CONTRACTOR
Name warren P. Rifenbark Jr. Name: Simeon Spagnuolo
Address:6904 Deland Avenue Company: ABCO garage Door Company, Inc.
City: Fort Pierce State:FL Address: 670 8th Court
Zip Code: 34951 Fax: City: Vero Beach State.FL
Phone No.407-492-8061 Zip Code: 32962 Fax: 772-567-0894
E-Mail: Phone No. 772-567-9098
Fill in fee simple Title Holder on next page(if different E-Mail: abcodoorvb@outlook.com
from the Owner listed above) State or County License: 27233
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S,UPPLEMEN 'AL C.ONSTiRUCTI(7N LIEN LAW INFORMATIO�Ii 3�
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 our Notice of Commencement.
s
_Signa -e-o -Signature o on rac or icense oder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sc.LU1CB COUNTY OF Sc.wi.e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 6 day of February 20 17 by this S day of February 20 17 by
Simeon Spagnuof& Simeon Spagnuolo
(Name of person acknowledging) (Name of person acknowledging)
_11, C 90---
(Signature of Nota7Pub!!ate of Florida) (Signature of Notary Public- of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. :.�., AMAN ARUAN
�"'+""�, AMANDA ROAN Commission#GG 026524
_�; Commission#GG 026524 �:o,: fres September5,2020
Revised 07/15/2014
E)Vres September 5,2020 +�':.«°d �T@YFain OWN0S101
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS