HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:I��aU5
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
I PERMIT APPLICATION FOR: Window/door I
Address: 4000 Seminole Road
Legal Description: 23 34 39 That Part Of SEC MPDAF:
Property Tax lD#: 1323-133-0011-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Brett Gordon
Setbacks Front-x Back: Right Side: Left Side:
V.1
A
DETTAILEUDE T-16 :,"d WORK ov "P,d5'6
Remove and replace (2) 9 x 7 garage doors
ON,S,j,, R Q iN114FORM 4:
C T-410, _14, 0
7"
Additional work to be performed under this permit— check all apply:
—]Gas In
E1HVAC Gas Tank
Pip
F in
Shutters
Z Windows/Doors
11 Electric ❑ Plumbing
OSprinklers
1:1 Generator
Roof
Total Sq. Ft of Construction:
S Ft of First Floor:
Cost of Construction: $ 2,490.00
Utilities:
SewerSepticBuilding
Height:
'd�w. "h Ek/L t'S"St"E
4-
Name Brett Gordon
Name: Simeon Spagnuolo
Address: 4000 Seminole Road
Company: ABCO Garage Door Company, Inc.
Address: 670 8th Court
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
City: Vero Beach State. FL
Phone No. 904-254-4497
Zip Code: 32962 Fax: 772-567-0894
E-Mail:
Phone No. 772-567-9098
E-Mail: abcodoorvb@outlook.com
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
State or County License: 27233
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTIQN LIEN LAIN INFOR MATIQN 3
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
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 vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF stLucie
The forgoing instrument was acknowledged before me
this 27 day of December , 20 _by
S
Signature-Contractor/License H`&M"____.
STATE OF FLORIDA
COUNTY OF stLucie
The forgoing instrument was acknowledged before me
this 27 day of December 20 by
Simeon Spagnuol&- Simeon Spagnuolo
(Name of person acknowledging) (Name of person acknowledging)
ature Of.l4otary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Haleigh Short
Commission No. GG148342 SN&ARY PUBLIC
STATE OF FLORIDA
re ogNo�"ary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG148342
(Seal)
Haleigh Short
Revised 07/15/2014 •-� �»�-. Expires 5/25/2021 STATE OFFLORIDA
Comrrpk GG148342148342
19� FYnirps s;/95/9n91
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