HomeMy WebLinkAboutBuiilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/05/2020 Permit Number:
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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 : 5110 Paleo Pines Circle , Ft, Pierce , Florida 34949
Legal Description: Holiday Pines S/D Phase II-B Lot 293 (Map 13/13N ) (OR 791 - 1768 ; 3275-2094)
Property Tax ID M 1312-801 -0096-000-9 Lot No. 293
Site Plan Name: Block No.
Project Name : Anthony J Serca JR )
Setbacks Front Back: Right Side: Left Side :
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DETAILED DESCRIPTION OF WORK :
Remove & Replace 16 x 7 Garage Door
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CONSTRUCTION 'INFORMATION :
Iona wor < o e e orme under spermt — checka apply:
� HVAC F] GasTank ❑Gas Piping _ Shutters Windows/Doors
Electric 0 Plumbing [] Sprinl<lers Generator Roof ! I
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Total Sq. Ft of Construction : S Ft. of First Floor:
, 760 . 00 Utilities: Sewer � Septic Building Height:
Cost of Construction : $ 1
OWNER/LESSEE := CONTRACTOR :
Name AnthonySerca TR Name : Simeon spagnuolo
Address : PMB #74 PO Box 341008 Company: ABCO Garage Door Company, Inc.
city: Bethesda State: MD Address: 670 8th Court
Zip Code: 20827 Fax: u City: Vero Beach State: FIL
Phone No, 772-979-6021 Zip Code: 32962 Fax: 772'567-0894
E-Mall : Phone No. 772-567-9098
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Fill In fee simple Title Holder on next page ( if different E-Mail : abcodoorvb@outiook.com
from the Owner listed above) State or County License: 27233
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If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION :
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 Count yy makes no representation that Is granting a permit will authorize the permit holder to build the subject structure
which !sin cantlictwith 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 worl< or rec0rdin our Notice of Commencement.
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_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF indian Rive, COUNTY OF Indian River
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The f going inst m nt was acknowledge fore me The forgoing Instrument was acknowledged before me
this day of c ober zD fore this 5 day of October 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 OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Commission # HH 037217
Revised07/ 15/2014 AMANDARUAN Expires September 6, 2024
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e Commission # HH 037277 Tro Faln insurence8*3W78fe
a= Expires tember50202 j
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COUNTElT REVIEW Ktvltvv IEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS