HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/8/17 Permit Number: %�J 0�
RECEIVED AUG 0 8 201/
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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
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Address: 5053 Emerson Avenue, Fort Pierce, Florida 34951
Legal Description. 15 34 39 N 1/2 OF S 1/2 OF NE 1/4 OF NE 1/4- Less Canal RM-(9.62 AC) (3)(OR 297-2909)
Property Tax ID#: 1315-113-0001-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILEUIRE CRIPTIC}N.30F WORK:r
Remove And Replace 10 x 7 Garage Door And Garage Door Opener
C031VSTRUCTI'ON INFORIVIATIQN a "
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Acid itiona I work toe ne ff&`ffied un er t is permit–cneCK all that appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters a Windows/Doors
1-1 Electric 0 Plumbing Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,545.00 Utilities:n Sewer 0 Septic Building Height:
OWNER/ . ,_ES.
ELJC
rt � ONTRACTOR ay.
Name Dwight Goo dner Name: Simeon Spagnuolo
Address:5053 Emerson Avenue Company: ABCO garage Door Company, Inc.
City: Fort Pierce State: FL. Address: 670 8th Court
Zip Code: 34951 Fax: City: Vero BeachState:FL
Phone No.461-5030 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;U ,RLEMEN"I�ALCONSTRUCTI'ON LIEN LAW INFORMATION
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State:T 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 of o e
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Luice COUNTY OF Sr.Lice
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 8 day of August20 17 by this S day of A°g°Sr 20 17 by
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. GG 026524 (Seal) Commission No. GG 026524
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AMANDARU
ANDARUAN .a i:°� ••., rnrnrnission#GG 026524
;�• Commission#GG 026524 a =Expires September 5,2020
Revised 07/15/2014 ,'� Q Expires September 5,2020 '<'Q' i�D,, ge,doditwTroyFain lnsurance8003857019
F F�g• Bonded Thru Troy Fain Insurance 80M85 7019
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