HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/x(19 Permit Number:
9 (00v
^:V
ERECEVED
Building PermitApplication12019
Planning and DevelopmentServices nty, Perrpittin
Building and Code Regulation Division g
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED IIVIPROVEMENT,LOCATION
Address: 6702 Santa Clara Blvd., Ft. Pierce, Florida 34951
Legal Description: Lakewood Park- Unit 9-Blk 116 Lot 7 (0.27AC- 11,700 SF) (Map 13/01 N) (Or 3223-165)
Property Tax ID#: 1301-611-0334-000-3 Lot No.7
Site Plan Name:--. Block No. 116
Project Name:
Setbacks Front Back: Right Side: Left Side:
y > a 2
zDETESCRIPTIOW
AILED DN OF ORK `
9r 7.�i {}
Remove & Replace 9 x 7 Garage Door& Garage Door Opener.
CONSlRUCTIOR�I"I,N'fORMATION 7 4 F
„ . . . .
Additional work toe e orme under this permit-c ec a that appy:
HVAC Ei Gas Tank E]Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,175.00 Utilities:Sewer Septic Building Height:
01NNER/LESSEE r CONTRACTOR
Name Cooper McKay LLC Name: Simeon Spagnuolo
Address:2529 N. Indian River Drive Company: ABCO Garage Door Company, Inc.
City: Ft. Pierce State:FIL Address: 670 8th Court
Zip Code: 34946 Fax: City:,Vero Beach State:FL
Phone No.772-216-0536 Zip Code: 32962 Fax: 772-567-0894
E-Mail:timgrimes12@aol.com Phone No. 772-567-()098
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.
St1PPLE' WATAL CONSTRUCTION ftA•LAW INF:ORMATIOPd
••r.dMau as e- ,nv*Y,,m. .. w •a ,�..,ss,r.�r �1 r,.„.,.w'a
rf x ; , i •4S if� D
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not ApplicableD
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicabie
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 fo-
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 23rd day of May 20 19by this 23rd day of May 20 19 by
Simeon Spagnuol6- 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)
f
N
.
._ AMB
GG 0 .►•"
Revised 07/15/201 %.�'aber 5,ZOZO ;F,: .'gCommission#GG026524
"I"�' D �19 ExplresSeptembgr5,2010
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANCROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS