HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/21/17 Permit Number: ' `O�° 05a
PM
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
PROP�?`SEI7'iiVIPROVEMENT L,i CATION {
Address: 117 Queen Ann Court, Fort Pierce, Florida 34949
Legal Description. Queens Cove-Unit 2-BLK 24-Lot B (OR 3686-1703)
Property Tax ID#: 1414-702-0028-000-1 Lot No.B
Site Plan Name: 117 Queen Ann Court Block No. 24
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAIiLEI�D` $CRIPTION�t F,WORK. E � ;
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Remove And Replace 16 x 7 Garage Door And Garage Door Opener
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GONSTRUC�"ION 1NFORMATIQN
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r Additionalworkto e e orme un er this permit=c ec a appy:
HVAC Ei Gas Tank F_]Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,925.00 Utilities:[]Sewer ElSeptic Building Height:
WNER/LESSEE.` i, tONTRACTOR09' a
y
Name Claudia Jackson Name: Simeon Spagnuolo
Address:117 Queen Ann Court Company: ABCO garage'Door Company, Inc.
City: Fort Pierce State:FL Address: 670 8th Court
Zip Code: 34949 Fax: City: Vero Beach State:FL
Phone No.772-332-1996 Zip Code: 32962 Fax: 772-567-0894
E-Mail:shgflorida@yahoo.com 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: ?7233
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
vSUPPLEMNTAI COIUSTtUCTION L EN LAW INFORMATION
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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.
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_Signature of Owner/Lessee/Agent Signature ofon ractorLicense HiT er —
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Luice COUNTY OF St.LU1Ce'
i;
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 21 day of June 20 17 by this 21 day of June 20 17 by
Claudia Jackson 1 Simeon Spagnuolo
(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. GG026524 (Seal) Commission No. GG 026524 (Seal)
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Revised 07/15/2014 '?•• Commission#GG 026524 p • I Commission#GG 026524
Expires Septembe�� 2028pp 3857ot9 , ;,=Expires September 5,2020
a ••o Falnl �r"hFii. Bonded ThNT Fain Insurance800.385.7019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS