HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : 11 /14/2020 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
PROPOSED IMPROVEMENT LOCATION :
Address : 5104 Feather Creek Drive
Holiday Pines S/D Phase II - B Lot 406 Ma 13/13N
Legal Description : y (Map )
Property Tax ID R: 1312-801 -0209-000-5 Lot No. 406
Site Plan Name : Block No.
Project Name: ,James & Carol Scott
Setbacks Front Back: Right Side : Left Side :
DETAILED DESCRIPTION OF WORK`:
Remove & Replace 16 x 7 Garage Door - FL# 16107 . 3
CONSTRUCTION INFORMATION :
nni iona wor o e Performed under t spermt — checka apply:
hIHVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq . Ft of Construction: S Ft. of First Floor:
1 ,495. 00
Cost of Construction : $ Utilities :
Sewer Septic Building Height:
OWNER/LESSEE : CONTRACTOR :
Name Name : P
Jim & Carol Scott Simeon s agnuolo �
Address: 5104 Feather Creek Drive Company: ABCO Garage Door Company, Inc.
City: Ft. Pierce State: FL Address: 670 8th Court
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Zip Code: 34951 Fax: City: Vero Beach State: FL
Phone No. (772) 321 - 1147 Zip Code: 32962 Fax: 772-567-0894
E-Mall : Phone No. 772-567-9098 j
Fill In fee simple Title Holder on next page ( if different E-Mail : abcodoorvb@outlook.com
from the Owner listed above) State or County License: 27233
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 County makes no representation that Is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with an v 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-resldentlal 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
commencin work or recordin our Notice of Commencement.
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFIemeoRiver COUNTY OFIndlenmve:
The forgoing lnstr ment was acknowledged before me The forgoing Instrument was acknowledged before me
this 14 day of f� ovember 20 10by this 14 day of November 20 220 by
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Amanda Ruan Amanda Ruan
(Name of person acknowledging ) (Name of person acknowledging )
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(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)
AMANDA RUA °•.: .
° �., Commissbn # HH 037277
Revised07/ 15/2014 ;,: Commission # HH037277 ExpiresSeplember5, 2024 j
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Aa Expires September 5, 2024 ' a, ° F 800.e857019
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Bond oy a n naura
REVIEWS FRONT PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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