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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:-103-91 %k1 Permit Number: RECEIVED - Building Permit Application JAN 0 3 2019 Planning and Development Services ST. Lucie County, Permitting 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: (r th. PROPQSED.IMPROVEMENT LOCATIC?N: Address: 6609 Fort Pierce Blvd. Legal Description. Lakewood Park- Unit 7-Blk 77-Lot 11 (Mapl3/02N) (Or 2971-647) Property Tax ID#: 1301-607-0195-000-3 Lot No. 11 Site Plan Name: Block No. 77 Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK ,� Remove & Replace 16 x 7 Garage.Door. CONSTRUCTION INFORMATION a°' r Additional work to be ertormed under this permit—check all that appy: HVAC Gas Tank []Gas Piping Shutters Windows/Doors Electric Plumbing Sprinklers Generator F] Roof Total Sp.,Ft of Construction: S . Ft. of First Floor: Cost of Construction:$ 1,361.00 Utilities: Sewer Septic Building Height: OWNER%LESSEE.4 V, m ,CONTRACTOR: Name Wesley&Patricia Caudill Name: Simeon Spagnuolo Address:6609 Fort Pierce Blvd 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.772-409-4247/937-760-2706 "Zip Code: 32962 Fax: 772-567-0894 E-Mail:waynephyl90@woh.rr.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 thepermit 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 essee/Agent Sign atu of Cunt-i'ccfo—r7iL cense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Sr.Lucie COUNTY OF Sc.Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 2ndday of January 20 19 by this 2nd day of January 20 19 by Simeon Spagnuof&- 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. GG 026524 (Seal) Commission No. GG 026924 (Seal) AMANDARUAN Revised 07/15/201 ,jtirpY�V,j�.� AMANDARUAN ° ;;Commission#GG 026524 _°' Commission#GG 026524 , Expires September 5,2020 a=Expires epe a Thru Troy ainInsurance 800.385•]019 REVIEWS FRO % •`ZI�� ii7royF�rl r �86�es�ot9 PLANS VEGETATIOI` COU REVIEW REVIEW REVIEW REVIEW REVIEW DATE CO M P LETE INITIALS