HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/2/18 Permit Number:
"'! J1- RECEIVED
Building Permit Application MAY 0 3 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 6607 Bayard Road
Legal Description. Lakewood Park- Unit 10- Blk 122 Lot 22 (Map 12/01 S) (Or 3356-590)
Property Tax ID#: 1301-612-0364-000-5 Lot No.22
Site Plan Name: Block No. 133
Project Name: 41G, LLC
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove & Replace 14 x 7 Garage Door.
CONSTRUCTION INFORMATION:
Additional work to be nprformed un er t is permit—check a appy:
HVAC Gas Tank DGas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 1,500.00 UtilitiesInSewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name 41G, LLC Name: Simeon Spagnuolo
Address:6607 Bayard Road 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.772-999-0964 Zip Code: 32962 Fax: 772-567-0894
E-Mail:ernestwyattjr@gmail.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: 27233
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Indian River COUNTY OF Indian River
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2nd day of May 20 18 by this 2nd day of May 20 18 by
Simeon Spagnuoft} Simeon Spagnuolo
(Name of person acknowledging) (Name of person acknowledging)
AMANDA RUAN ~
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emission J
Notary Expires P 552
(Signature of Notary Public Stat of Florida) #GG p (Signatre of Nota Public State of Florida Pres Se tPmberS 2�2
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Personally Known x OR PAiducedddentificatron= 4 ly Known x OR Produced Idents Ica
Type of Identification Produced dentification Produced
Commission No. GG026524 (Seal) Commission No. GG026524
(Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS