HomeMy WebLinkAboutBuilding Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/12/2020 Permit Number:
Building Permit Application
Planning and Development 5ervices
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: 6806 Paso Robles Bivd.
Legal Description: Lakewood Park Unit 9 - BLK 115 Lot 1 (Map 13/01 N) (OR 1140-569:1174-2568)
Property Tax ID #: 1301-611-0298-000-8
Site Plan Name:
Project Name: Nicholas Perfetto
Setbacks Front Back:
Right Side:
Remove &Replace 16 x 7 Garage Door
OHVAC � Gas Tank ❑Gas Piping
Electric Plumbing []Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1,420.00
Lot No. 1
Block No. 115
Left Side:
Shutters Q Windows/Doors
Generator El Roof
S Ft. of First Floor: _
UtiMies: Sewer Septic
Building Height:
0 W N
ER/LESSEE:
CONTRACTOR:
Name
Name: Simeon Spagnuolo
Address:
Company: ABCO Garage Door Company, Inc.
City: State: _
Zip Code: Fax:
Phone No.
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-Mall: 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: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City, State:
Zip: Phone:
City: State:
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 ppermit wlll authorize the permit holder to build the subject structure
which is In contlict 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 our Notice of Commencement.
Signature of Contractor/License Holder
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Indian River
COUNTY OF Indian River
The f rygoing Instrument was acknowledged before me
this �L day of October 20 20by
The forgoing Instrument was acknowledged before me
this 1L dayof October 20 20 by
AmandaBuan
Amanda Ruan
(Name of person acknowledging)
(Name of person acknowledging)
✓ce - �'
(Signature of Notary Public- State of Florida )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification _
Type of Identification Produced
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. Se
Commission No. (Seal)
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