HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/2/18 Permit Number: V2 �}ll03�j
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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
PjROPOSED IMPROVEM NT LOCATION
Address: 5370 Slash Pine Trail
Legal Description: 7 34 40 S 1/2 Of NW 1/4 Of NW 1/4 Of SE 1/4 Of SW 1/4- Less W 60 Ft-(1.04 AC) (Or 1955-2168)
Property Tax ID#: 1407-342-0020-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: - Left Side:
DETAILED DESCRIPTION OF WORK
Remove & Replace 16 x 7 Garage Door.
CONSTRUCTION INFORMATION
Additional work to be performed under this permit–check all that apply:
OHVAC —Gas Tank Gas Piping _Shutters El Windows/Doors
Electric 111Plumbing I I Sprinklers Generator _Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
$1,658.00
Cost of Construction:$ Utilities: _Sewer _Septic Building Height:
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OWNER LESSEE CONTRACTOR:
Name Judith Kraft Name: Simeon Spagnuolo
Address:5370 Slash Pine Trail 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.772-321-5951 Zip Code: 32962 Fax: 772-567-0894
E-Mail:jkraft64@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: 27233
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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 your Notice of Commencement.
_Signature of Owner/Lessee/Agent - Signature of Contractor Lice
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2nd day of November , 20 18 by this 2nd day of November 20 18 by
Simeon Spagnuolt5- 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. GG026524 (Seal) Commission No. GG026524 (Seal)
Revised 07/15/2014 °,�a `��<< haiANDARUAN °.F�� AMANDARUAN N ~w
112:1A''=Commission t#GG 026524 Commission#GG 02 524
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DATE
COMPLETE
INITIALS