HomeMy WebLinkAboutBuilding Permit ApplicationAl I APPI ICARI F INFn MUST RE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: _a co-0 I
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
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION
:Address: 4804 Paleo Pines Circle
Legal Description: Holiday Pines S/D Phase II - B Lot 308
Property Tax ID #-. 1312-801-0111-000-1 Lot No.
Site Plan Name: Block No.
Project Name: LLS Development
Setbacks Front X Back: Right Side: Left Side:
DETAILED DESCRIPTION OF -WORK:
Remove and replace a 16 x 7 garage door
Haamonai worKto ae
11HVAC
11 Electric
errormea
unaertnis permit—cnecK au n
Gas Tank Gas Piping _
Plumbing Sprinklers
apply:
Shutters Windows/Doors
Generator Roof
_
❑
Total Sq. Ft of Construction:
Cost of Construction: $ 1,410.00
S Ft. of First Floor: _
Utilities: Sewer []Septic
Building Height:
OWNER/LESS E:
CONTRACTOR:
Name James And Sharon Dial
Name: Simeon Spagnuolo
Address: 4804 Paleo Pines Circle
Company: ABCO Garage Door Company, Inc.
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772-828-1905
Address: 670 8th Court
City: Vero Beach State: FL
Zip Code: 32962 Fax: 772-567-0894
Phone No. 772-567-9098
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: abcodoorvb@outlook.com
State or County License: 27233
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPP(EMENTA'CGONS7RUCTION LIEN LAW INFORMATION: y
DESIGNER/ENGINEER: _ Not Applicable
;Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
!Address:
;City: State:
!Zip: Phone:
City: State:
Zip: Phone:
IFEE SIMPLE TITLE HOLDER: _ Not Applicable
jName:
BONDING COMPANY: Not Applicable
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 your Notice of Commencement.
-- s
_ Signature of w Signature of actor/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 23 day of January 20 20 by this 23 day of January 20 ?n by
{ Simeon Spagnuoi6- Simeon Spagnuolo
(Name of person acknowledging) (Name of person acknowledging )
re of Notary P41ic- State of Florida )
Personally Known x v OR Produced Identification
Type of Identification Produced
Commission No. GG148342
Revised 07/15/2014
H(I �j Short
NO�ARY PUBLIC
STATE OF FLORIDA
Comm# GG148342
Expires 5/25/2021
ature of Notary Rublic- State of Florida
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG148342 *51 y e Short
rA Y PUBLIC
1 STATE OF FLORIDA
om GG148342
• HCE M1e Expires 5/25/2021
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