HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/17/2020 Permit Number:
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
Address: 7604 Ocala Avenue
Legal Description: LAKEWOOD PARK ADDITION NO 1- BLKB LOT 22
Property Tax ID tf: 1302-810-0049-000-2 Lot No. 22
Site Plan Name: Block No. B
Project Name: Ed Keil
Setbacks Front Back: Right Side: Left Side:
Remove & Replace 16 x 7 Garage Door
ualCionel wune W ue fJer
HVAC
Iunneu
Gas Tank
unueIt[ us pei n Ir—uiecrc duapMY
❑Gas Piping
_Shutters
Windows/Doors
Electric
0
Plumbing
Sprinklers
11 Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1,828.25
S Ft. of First Floor:
Utilities: 0 Sewer D Septic
Building Height:
0 W N ERAESSEE
CONTRACTOR:
Name Edwin Kell
Name: Simeon Spagnuolo
Address: 493 County Route 63
Company: ABCO Garage Door Company, Inc.
City: Stuyvesant State: NY
Zip Code: 12173 Fax:
Phone No. 518-965-4944
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 requirea.
SUPPLEMENTAL CONSTRUCTION: LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State: _
Zip: Phone:
City, State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
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 Count yy 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
commencine work or recording your Notice of Commencement.
__.
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF mdiee Amer CO U NTY 0 F Indflen near
The f rgoing instruument vvyyas acknowledged before me The For oing Instrument was acknowledged before me
this / day of HUgUSi 20 2q y this day of August 20 20 by
Amanda Ruan Amanda Ruan
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification _ Personally Known x
Type of Identification Produced Type of Identification
Commission No. (Seal) ( Commission No.
to+'qy AMANDARUAN
Revised 07/15/2014 ' "@Commission # GG 026524
tom? 1�•-Ex IresSeptember5,2020
"?°pit°,".•I BondedThN 1 (01 tin 115-1-0
REVIEWS FRON I OR PLANS VEGETATI
COUNTER REVIEW REVIEW REVIEW REVIEW
INITIALS
OR Produced Identification
(Seal)
Commission H GG 026524
Expires September 5, 2020
REVIEW I REVIEW