HomeMy WebLinkAboutPermit App - Angela M Moesly - 6503 Sebastian RoadALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/2/2021 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; ndow/door
PROPOSED IMPROVEMENT LOCATION:
Address: 6503 Sebastian Road Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 12- BLK 157 LOT 28 (MAP 13/12S) (OR 3613-2652)
PropertyTax ID R: 1301-614-0028-000-4 Lot No. 28
Site Plan Name: Block No. 157
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove &Replace 16 x 7 Garage Door
CONSTRUCTION INFORMATION:
F-1
HVAC u Gas Tank
Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2700,00
tms permn—c
❑Gas Piping
Sprinklers
Shutters � Windows/Doors
Generator Roof
S Ft. of First Floor:
UtilitieSewerSeptic Building Height:
OWNER/LESSEE;
CONTRACTOR:
Name Angela M Moesly
Name: Simeon Spagnuolo
Address:6503 Sebastian Road
Company: ABCO Garage Door Company, Inc.
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 828-734-8011
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 required,
SUPPLEMENTAL CONSTRUCTION
LIEN LAW
INFORMATION:
DESIGNER/ENGINEER: _ Not
Name:
Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not
Name:
Applicable
BONDING COMPANY:
Name:
Not Applicable
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 Countyy makes representation that is granting a Permit will authorize the perm
any
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 Homeowners 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 witlender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY 0 F mma� awar
STATE OF FLORIDA
CO U NTY O F maid em<r
The Forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this 2nd day of March 20 21 by this 2nd day of March 20 21 by
AshiliNansen Ashili Hansen
(Name of person acknowledging) (Name of person acknowledging )
( gna ure of Notary u6 ic- State of Florida) ' n ture 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. GG-9734 om Ission No. GG-973487 (Seal)
n:^.'�,; HANSEN
;,: Commission#GG973487 M?':"'••. ASHILIHANSEN
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