HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: 5 1118 Permit Number: O ' 1
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Building Permit Application RECEIVED
Planning and Development Services MAY 0 7 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 T. L 0 Coun , Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Re
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION: _
Address: 6901 Salerno Road
Legal Description. Lakewood Park- Unit 10- Blk 126 Lot 16 (Map 13/01 S) (Or 3730-587)
Property Tax ID#. 1301-612-0180-000-1 Lot No. 16
Site Plan Name: Block No. 126
Project Name: Antwane Mitchell
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove & Replace 16 x 7 Garage Door & Garage Door Opener.
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit—check all h appy:
HVAC Gas Tank EJ Gas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ i. SSC). rJ Utilities:cn Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Antwane Mitchell Name: Simeon Spagnuolo
Address:6901 Salerno 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.786-972-4153 Zip Code: 32962 Fax: 772-567-0894
E-Mail:bigdaddy33020@att.net 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 o errsellDI 1 r--
STATE
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 4th day of May 20 18 by this 41" day of May 20 18 by
Simeon SpagnuoI6 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 x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
�G4. AMANDA RUAN ,,d ; AMAND",RUAN
=:Commission Corr�mission#GG 026524
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