HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2
Date: 2/28/17 Permit Number:, 1103- OOOS
Building pp 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 IMPR01/EMENT LQCATION„,
Address: 7302 Deer Park Avenue, Fort Pierce, Florida 34951
Legal Description. Lakewood Park-Unit 5-BLK 41 Lot 8 (Map 13/11 N)(OR 2152-1:2794-2724)
Property Tax[D#: 1301-605-0034-000-1 Lot No.
Site Plan Name: Will&Amy Nader Block No.
Project Name: Will &Amy Nader
Setbacks Front Back: Right Side: Left Side:
v da . 3 3
DETAILED DESCR'IPTI®N OF WORK,
Remove And Replace 16 x 7 Garage Door And Garage Door Opener
CONSTRU,CTI-ON.INFORMATI0N
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Additional work to be
nertormed under tis permit—c e �
c a appy:
❑HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
❑Electric ❑ Plumbing ]Sprinklers ❑Generator ❑ Roof
Total$q. Ft of Construction: S . Ft.of First Floor:
i
Cost-of Construction:$ 1,535.00 Utilities. _Sewer❑Septic Building Height:
OWNER/LESSEE'
CONTRACTOR.
7
Name Amy Rosichan&Wilgens Nader Name: Simeon Spagnuolo
Address:7302 Deer Park 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.224-6637 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.
SiUPPLEMENt,"A CONSTRUCTION LIEN LAIN INFORMATION 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
_Signature of Owner/Lessee/Agent Signature of Contractor/License Hol er
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY OF St. .toe CO U NTY OF St.Luce
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 28 day of February 20 17 by this 28 day of February 20 17 by
Amanda Ruan 1 Amanda Ruan
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GG 026524 (Seal) Commission No. GG 026524 --(Seall
,N•" DA ROAN ;1a R AMANDA ROAN
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Revised 07/15/2014 '•'
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