HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/1 /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: Window/door
Address: 5211 Indian Bend Lane Ft. Pierce, Florida 34951
Legal Description: HOLIDAY PINES S/D-PHASE II -A- LOT 197 (MAP 13/12S)
Property lax ID q: 1312-800-0028-000 9 Lot No. 197
Site Plan Name: Dwayne Smythe Block No.
Project Name: Dwayne Smythe
Setbacks Front Back: Right Side: Left Side:
Remove &Replace 16 x 7 Garage Door
ona wor< obe ertormea under [ms perrnn—u�ecn a� MM'Y
HVAC � Gas Tank❑Gas Piping _Shutters
Electric 0 Plumbing ElSprinklers Generator
Total Sq. Ft of Construction:
Cost of construction: $ 1685.00
Sal Ft. of First Floor:
_
Utilitles:: Sewer .Septic
Windows/Doors
Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Dwayne Smythe
Name: Simeon Spagnuolo
Company: ABCO Garage Door Company, Inc.
Address: 5211 Indian Bend Lane
Address: 670 8th Court
City: Ft, Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 954-557-1816
City; Vero Beach State: FL
Zip Code: 32962 Fax: 772-567-0894
Phone No. 772-567-9098
E-Mall:
E-Mail: abcodoorvb@outlook.com
Fill In fee simple Title Holder on next page ( If different
from the Owner listed above)
State or County License: 27233
If value of construction is Szsuu or more, a ncwnUcu rvvu6c W' ��•"•'•_"��•�•^ •- •--'- •--•
Name:
Address:
City: State: —
Zip; Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City: _
Zip: _
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State:
Zip; Phone:
BONDING COMPANY:
Name:
Address:
_Not Applicable
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St. Lucie Count yy makes norepresentationthat Is granting a permit will authorize the permit holder to build the subject structure
structure�Pleaslecconisult with plicyouablle H me Ow Association andrreviewyyour deed for any restrictions which rmaor
aprohibit such
In consideration of the granting of this requested permit, I do hereby agree that I will, In all respects, perform the work
iIn 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-residentlal 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
der or an attorney befooesite
before the first inspection. If you Intend to obtain financing, t
commencing work or recording our Notice of Commencement.
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COU NTY O F maim ama,
The
fo�oing InstruCnen was acknowledged before me
this day of _� 20 Eby
STATE OF FLORIDA
COUNTY OF maia�aroa,
The forgoing Instrument Was acknowledged before me
this -V-� day 0 f20 21 by
person
of
of
Personally Known x OR Produced Identification _ Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
lqpa
Commission No.(XI 'f fir"3 o. GG-973487
nn:t,
ASHILI HANSEN 1R4 0 ASHILIHANSEN
341
a. o Expires March 25, 2024; Expires March 25, 2024
Revised 07/15/2014 +?gT„k4'� Bonded Thm Troy Fein lneuraim B0038670t9 \ ' Bonded TNU Troy Fain lnauronceMill
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
DATE
COMPLETE
INITIALS