HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:"„" 20— 51x1 `\4 5 r�5�~ j
1q Permit Number: N
- a. RECEIVED
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Building Permit Application
MAY 2 1 2019
Planning and Development ServicesFg
ST, 6uGly 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: dA4RdeV0ldt3ei~ a c a q p do
PROPOSED-IMPROVEMENtLOCATION:
Address: 8806 Brookline Avenue
Legal Description: Lakewood Park Unit 8 BKL 99 Lot 1 Less RD RJW
Property Tax lD#: 1301-608-0236-000-6 Lot No.1
Site Plan Name: Block No. 99
Project Name: Donald Ensminger
Setbacks Front Back: Right Side: Left Side:
DETAILED;DESCRIPTION`'OFWORK:
Remove & Replace 16 x 7 Garage Door & Garage Door Opener
CONSTRUCTION,INFORMATION; -
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Additionalwar to e e orme un er this ermrt—check a a
HVAC F Gas Tank
—]Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers E Generator F]Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1,985.00 Utilities: Sewer Septic Building Height:
OWNEWLES�EE: �� CONTRACTOR:
Name Donald Ensminger Name: Simeon Spagnuolo
Address:8806 Brookline Avenue 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.772-579-8146 Zip Code: 32962 Fax: 772-567-0894
E-Mail: Phone No. 772-567-9098
Fill in fee simple Title Holder on next page I 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 LiENLAW 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.
Signature of Owner/-Lessee/Agent" Signature of Contractor/License Holder
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 day of 20 —by this 21 day of May 20 by
Simeon Spagnuotb- 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)
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Revised 07/15/2014 �rCission#GG 026524 ' r =mission#GG 028524
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