HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/23/2021 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
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PERMIT APPLICATION FOR : Window/door j
PROPOSED IMPROVEMENT LOCATION :
Address: 5403 Echo Pines Circle W. Ft, Pierce , Florida 34951
Legal Description : HOLIDAY PINES S/D-PHASE I- LOT 152 (MAP 13/12S)
Property Tax ID q: 1312-500-0153-000-3 Lot No. 152
Site Plan Name: KENNETH MILNER Block No.
Project Name : KENNETH MILNER
Setbacks Front Back: Right Side: Left Side :
DETAILED DESCRIPTION OF WORK :.
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Remove & Replace 16 x 7 Garage Door
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CONSTRUCTION INFORMATION :
i iona wor < o e e orme under thispermt - e ec a apply:
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L IHVAC Gas Tank ❑ Windows/Doors
Gas Piping Shutters
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Electric Plumbing [:] Sprinklers Generator Roof
Total Sq. Ft of Construction : 5 . Ft. of First Floor:
Cost of Construction : $ 1535 . 00 Utilities : sewer Septic Building Height:
O W N ERAESSEE : CONTRACTOR :
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Name KENNETH MILNER Name : Simeon 3pagnuolo
Address: 5403 Echo Pines Circle W. Company: ABCO Garage Door Company, Inc.
city: Ft. Pierce State: FL Address: 670 8th Court
Zip Code: 34951 Fax: City: Vero Beach State : FL
Phone No. 561 -827-6502 Zip Code: 32962 Fax: 772-567-0894
E-Mail : Phone No, 772-567-9098
Fill in fee simple Title Holder on next page ( if different E-Mall : abcodoorvb@outiook.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,
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 ppermit will authorize the permit 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 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
commencingwork or recordin 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 O F Inman River COUNTY OF Indian River
The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this23rd day of March 2021 by this 23rd day of Mnrrh 20 21 by
Ashili Hansen Ashili Hansen
( Name of person acknowledging ) (Name of person acknowledging )
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ignatune o otary Pu Ilc- State of Florida ) .�.- (Signa ore 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-97 mission No. GG-973487 (Seal)
ASHILI HANSEN
ASHILI HANSEN
f Expires March 25, 2024 .;' .. :;e COMMIN100 GG 973487
-30: a= Expires March 25, 2024
Revised 07/ 15/2014 ?;°p`q. Baled Tluu Troy Feln lnaurence800.38&7019 ''•e ,pj+, d'P'' BWWTluu Troy Fainlnaurence900385,7019
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