HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date. v� °2-�-��'S �1 �� Permit Number:
- � RECEIVED
Building Permit Application MAY 0 6 .. 019
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:
-PROPOSED'IMPWROVEMENT LOCATION. j
Address: 5706 E. Seminole Road
Legal Description: Lakewood Park-Unit 4-Blk 32 From SW Cor Blk 32, Run N 211.5 For Pob, Th Cont N 85 Ft, Th E 150 Ft
Th S 85 Ft,Th W 150 Ft Topob(13) (Map 13/11N) (Or 1577-2190: 3384-127: 3384-1311)
Property Tax ID#: 1301-604-0124-290-5 Lot No.
Site Plan Name: Block No. 32
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK '
0
Remove & Replace 9 x 7 Garage Door.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check a at appy:
L_
HVAC _I Gas Tank ❑Gas Piping In Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers E Generator 11 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 915.00 Utilities:n Sewer Septic Building Height:
OWNER/LESSEE :. CONTRACTOR: it
Name John Polk Name: Simeon Spagnuolo
Address:5706 E. Seminole Road Company: ABCO Garage Door Company, Inc.
City: Ft. Pierce State:FL Address: 670 8th Court
Zip Code: 34951 Fax: City: Vero Beach State:FL
.Phone No.772-882-8097 Zip Code: 32962 Fax: 772-567-0894
E-Mail:sallypolk46@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:.
. o, II
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/Lessee/Agent Signature of Contras or I ��—
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF IndlanRiver COUNTY OF indianRiver
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2nd day of May 20 -19 by this 2nd day of ^pulp 20 by
Simeon Spagnuolb- 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)
+1ai:'St, AMANDARUAN �'���~ RUAN
Revised 07/15/2014 ;=Commission#.GG026524 1 VQ. AMANDA
_. :;; Commission#GGfall, tember 5,2010 028
BaidwTin i yFahlunfa 7ot9 L;'o,F,; �� ePtember 2020
REVIEWS FRONT ANS VEGE F� E
COUNTER REVIEW REVIEW REVIEW REVIEW R
DATE
COMPLETE
INITIALS