HomeMy WebLinkAboutBUILDING PERMIT APPLIATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 9
Date: , "mil Permit Number:
J' Y10,
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: t/i/indow/door
Address: 3870 A1A, Ft. Pierce, Florida 34949
Legal Description: Project ID# 1423805-00000000
Property Tax ID #: Project ID# 1423805-00000000
Site Plan Name:
Project Name: Hibiscus I - West Garage
Setbacks Front Back: Right Side: Left Side:
DETAILED OESCRIPTIONOF WORK:
28 - 8 x 7 Replacement Garage Doors
ON'INFORIVIATION:
❑HVAC ❑ Gas Tank
❑ Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 31,830.00
Lot No.
Block No.
Piping ❑_Shutters ✓❑Windows/Doors
nklers ❑ Generator ❑ Roof
S Ft. of First Floor: _
Utilities: Sewer ❑ Septic
Building Height:
OWNER/,LESSEE:
CONTRAcTQR:
Name Hibiscus I Condo Association Go Advantage Property Management
Address:1111 SE Federal Highway
Name: Simeon Spagnuolo
Company: ABCO Garage Door Company, Inc.
City: Stuart State: Fl
Zip Code: 34994 Fax: 772-288-0175
Phone No. 772-708-2018
Address: 670 8th Court
City: Vero Beach State: FI
Zip Code: 32962 Fax: 772-567-0894
Phone No. 772-567-9098
E-Mail: dougapm@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: abcodoorvb@bellsouth.net
State or County License: 27233
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIMLIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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 your Notice of Commencement.
Signature of Owner/Agent/ Lessee:
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Signature of Contractor/License Holder
STATE OF FLORID -
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STATE OF FLO
COUNTY OF
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COUNTY OF (i
The forgoing instr ment was acknowledged before
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The forgoing instru4ment was acknowledged before me
this�dayof 20 t by
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this�ldayofiljljl)Qf�20-1,6 by
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ame of person acknowle gin
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n acknowledging)
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(Signature of Vary Public -State of Flo da)
(Signature of tary Public -State of Florida )
Personally Known O uced Id ntific tion
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identificatio Produced
Commission No. (Seal)
Commission No. o'••, ea
,•—17ADIA L M EK
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' "= My COMMISSION #FF020309
EXPIRES May 21. 2017
Revised07/15/2014 (407)398-0153 FloridallotaryServicc.com
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