HomeMy WebLinkAboutBuilding PermitALL 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 Cade 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: 8201 Ft. Pierce Blvd.
Legal Description: LAKEWOOD PARK -UNIT 8- BLK 92 LOT13 (MAP 13/02N) (OR 3244-2227)
Property TaxlD #: 1301-608-0118-000-3
Site Plan Name:
Prolect Name: Ed Keil
Setbacks Front Back: Right Side: Left Side:
Remove & Replace 9 x 7 Garage Door
Lot No. 13
Block No. 92
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apply; HVAC _ Gas Tank Das Piping _ Shutters Z Windows/Doors
11 Electric Plumbing []Sprinl<lers 11 Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1,014.55 utilities: OSewerEjSeptic Building Height:
OWNER/LESSEE;
CONTRACTOR:
Name Edwin Keil
Name: Simeon 8pagnuolo
Address: 439 County Route 46
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)
EW all: abcodoorvb@outlook.com
State or County License: 27233
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
STATE OF FLORIDA
Address:
COUNTY OF Indian River
City:
Zip: Phone:
State:
City:
Zip: Phone:
State: _
FEE SIMPLE TITLE HOLDER:
Name:
— Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
(Signature of Notary Public- State of Florida )
City:
Personally Known x OR Produced Identification
Zip: Phone:
Type of Identification Produced
zip: Phone:
Commission No. (Seal)
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St. Lucie Countyy makes no representation that Is granting a ppermit will authorize the permit holder to build the subject structure
which Is in conflict with any. applicable Home Owners Assoctatlon 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
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_ 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 17 day of August 20 20 by
this 17 day of August 20 20 by
Amanda Ruan
Amanda Ruan
(Name of personacknowledging
(Name of person acknowledging acknowledging )
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification _
Personally Known x OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No, (Seal)
Commission No. (Seal)
• tirYy„u, '
•'iq;?y'••.,, AMANDA RUAN •'
Revised 07/15/2014 '' '":
Commission p GG 026524
Commission k GG 026524 p;5
Expires September 5, 2020
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