HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/8/18 Permit Number: ' ��
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Building Permit Ap Aication
Planning and Development Services
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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
PR"OPOSED IMP`ROVEM'E'NT LOCATION:
Address: 5600 Paleo.Pines Circle
Legal Description: Holiday Pines S/D-Phase I -Lot 41 (Map 13/12S) (OR 479-1376)
Property Tax ID#: 1312-500-0042-000-2 Lot No.41
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
pETAILED DESCRIPTION"OF'VU ORK.,t""""
Remove & Replace 16 x 7 Garage Door.
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CONSTRUCTION INFORMATION
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Additionalwork to be performed under this permit—check all tat pp y:
i HVAC Gas Tank ❑Gas Piping ❑_ hutters Q Windows/Doors
❑Electric 0 Plumbing Sprinklers ❑Generator ❑ Roof
I Total Sq. Ft of Construction: S . Ft. o First Floor:
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Cost of Construction:$ $1,658.00 Utilities: Sewer El Septic Building Height:
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OINNERJLESSEE: '
CONTRACTOR:
Name Chris Lange Name: Simeon Spagnuolo
Address:5600 Paleo Pines Circle Company: ABCO garage Door Company, Inc.
i City: Fort Pierce State:FL Addres . 670 8th Court
Zip Code: 34951 Fax: City- V ro Beach State:FL
Phone No.772-370-7479 Zip Codle: 32962 Fax: 772-567-0894
E-Mail:projunky@aol.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 o County License: 27233
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMTAL C
ENONSTRUCTION LIEN LAW INF'ORIVIAT ON:
DESIGNER/ENGINEER: _Not Applicable MORT AGE COMPANY: _Not Applicable
Name: Name:
Address: Addres
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 o a permit.
St. Lucie County makes no representation that is granting a permit will auth rize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,byla s or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review yo r deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree hat I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St.LuIcie County Amendments.
The following building permit applications are exempt from undergoing a fu I concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms an accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Comme cement may result in your paying twice for
improvements to your property.A Notice of Commencement rr ust be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, co sult with lender or an attorney before
I commencing work or recording our Notice of Commencement
_Signature of Owner/Lessee/Agent SignaturE of Contractor/License Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF st.Lude
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 8th day of August, 20 18 by this 81h day of August 20 18 by
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(Name of person acknowledging) (Name ol person acknowledging)
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(Signature of Notary Public-State of Florida) (Signatu a of Notary Public-State of Florida)
Personally Known X OR Produced Identification Personal y Known x OR Produced Identification
Type of Identification Produced Type of I entification Produced
Commission No. GG026524 (Seal) Commission No. GG 026524 (Seal)
Revised 07/ 2 �� AM MIDA RLIAN pFYJI�,is f1 +AND,e,R A
Coramission#GG 02652 AN
lr. !} :Commissioner!`(
K 3-305.7019 v�`.4 tf¢g 4•n1c 3]�JBf J, Q 0
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DATE
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