HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ((�I .013Y
Date: PermitNumber:X1"` W
RECEIVED
JAN 31 1020.
Building Permit Application Permitting DeP artment
Planning and Development Services cr 1_ucie County
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
PROPO8ED`1 PROVEM ENT LOCATION:
Address: 6737 Alheli
Legal Description: Spanish Lakes Fairways Blk 40 Lot 1
Property Tax.ID #: 1306-500-0069-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Roger Jones
Setbacks Front x Back: Right Side: Left Side:
DETAILED DESCRIPTION 'O;F WORK:
Remove and replace a 9 x 7 garage door
idltionalwork tobe
11HVAC
11 Electric
ertormed
11
under this permit —check all h apply:
Gas Tank ❑Gas Piping _Shutters �. � Windows/Doors
Plumbing Sprinklers I Generator F]Roof
❑
Total Sq. Ft of Construction:
Cost of Construction: $ 1,330.00
S Ft. of First Floor: _
UtilitiesInSewer Septic
Building Height:
OWNER/LESSEE: '
'CONTRACTOR:
Name Roger Jones
Name: Simeon Spagnuolo
Address: 6737 Alheli
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 610-554-6940
Company: ABCO Garage Door Company, Inc.
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.
SUPPLEMENTAL.CQNSTR'U:CTIO.N LIEN ALA_ W IN.FOR,MATION,:.
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 vour Notice of Commencement.
I �-_ s
_ Signature of Owner/ Lessee/Agent Signature of Contractor License Holder
'STATE OF FLORIDA
CO U NTY O F St Lucie
The forgoing instrument was acknowledged before me
this 30 day of January , 20 2(Zby
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
this 3' day of January 20 by
Simeon Spagnuo16 Simeon Spagnuolo
'(Name of person acknowledging)
i" � "A* G
ignature of Notary P
Personally Known x
Type of Identification Pro
Commission No. GG026524
Revised 07/15/2014
of Florida )
1OR Produced Identification
uced
(Seal)
Haleigh Short
STATE OF FLORIDA
Comm* GG148342
Personally Known x OR produced Identification
Type of Identification Produced
Commission No. GG026524 (SeaPaleigh Short
@pSI�Y n NOTARY PUBLIC
COmm'# 00148342
Expires 5/25/2021
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