HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �O
Date: o. 19 Permit Number:
® RECEIVED
-- _ Building Permit Application JUL 3 0 2019
Planning and Development Services
Building and Code Regulation Division ST.-Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSEDINfPROVE IUIENT LOCATION: '
Address: 4100 Lookout Court
Legal Description: Holiday Pines S/D Phase III Lot 519
Property Tax ID#: 1313-502-0096-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Kogut
Setbacks Front x Back: Right Side: Left Side:
DETAILED DESCRIPTfON OF WORK:
Remove and replace a 16 x 7 garage door
CONSTRUCTION 'INFORMATION:
Additional work toe e orme under tispermit—checka appy:
HVAC Ei Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers F1 Generator E] Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2,480.00 Utilities: Sewer Septic Building Height:
01NN ER/LESS'EE:
CONTRACTOR:
Name Casimer&Judith Kugot Name: Simeon Spagnuolo
Address:4100 Lookout Court 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.772-321-5128 Zip Code: 32962 Fax: 772-567-0894
E-Mail: 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 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.
s
_Signature of Owner/Lessee/Agent ature of Contra or Icense o er
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_ J1 ,U _A 20 Igby this,2,q day of J14 I q 20 J_1 by
Simeon Spagnuolb- Simeon Spagnuolo
(Name of person acknowledging) (Name of person acknowledging)
( ignature of`No ry Public-State of Florida) ( I na re of Not Public-Sta f Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.GIC-liy y (Seal) Commission No-(97C� (L /L//Z_ (Sea l)Haleigh Short
y NO ARY h rt BLIC NOTARY PUBLIC
STE TE OF FEE)
STATE OF FLORIDA
Revised 07/15/2014 ^Jz a Comm#GG148342 Comm#GG148342
CE 19��
Expires 5/25/2021 E 1%�0 Expires 5/25!2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
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