HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Muw�
Building Permit Application JUL 3 0 2019
Planning and Development Services
Building and Code Regulation Division ST., 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
PROPOSED IMPROVEMENT LOCATION:
Address: 5706 Fort Pierce Blvd
Legal Description.. Lakewood Park Unit 4 BLK 35 Lot 10
Property Tax ID#. 1301-604-0160-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Deborah Rector
Setbacks Front x Back: Right Side: Left Side:
DETAILED DESCRIPTION OF`WORK:
Remove and Replace A 14 x 7 Garage Door
CONSTRUCTION INFORMATION:
Additional work toe e orme under t is permit—check a appy:
HVAC E]Gas Tank []Gas Piping fl Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1,330.00 Utilities:[]Sewer D Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Deborah Rector Name: Simeon Spagnuolo
Address:5706 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.772-465-6444 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:IN FORMATION:
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 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-30 day of ,U\\..p 20 Lby this?� dayof 20 Aq by
Simeon Spagnuold- Simeon Spagnuolo
(Name of person acknowledging) (Name of person.acknowl edging)
6A L
Signature of Nota %6 I-c-State of Florida) (S''nat re of NotaryP lic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
GG148342 at-Y �aieigh Short GG148342 AS Hai' § ort
Commission No. a Commission No. �
oe o OTARY PUBLIC c NOT Ry PUBLIC
15-STATE OF FLORIDA o —STATE OF FLORIDA
omm#GG148342 Corrlrr#GG 148342
Revised 07/15/2014 •W6 W1e Expires 5/25/2021 1�e Expires 5/25/2021
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