HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/21/2015Permit Number: d���
RECEIVED
Building Permit Application
Planning and Development Services MAY 21 2015
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
PROPOSEDJIVIPROVEMENT LOCATION:.
Address: 5206 Eagle Drive, Ft Pierce, FL 34951.
Legal Description: HOLIDAY PINES S/D-PHASE II-B-LOT 212(MAP 13/12S)(OR 1961-2389;3645-1996;3669-768;3676-1028)
Property Tax ID#: 1312-801-0015-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIOIV.OF WORK:
16'x 7' Replacement Garage Door
E,CQESTRUCTIONIINFQRMATIOW
Additional work toe nertormed under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,600.00 Utilities:Sewer OSeptic Building Height:
OWER/LESSEE: CONTRACTOR:
Name Francis L Lasenby Name: Simeon Spagnuolo
Address:5206 Eagle Drive Company: ABCO Garage Door Company, Inc.
City: Ft Pierce State:FL Address: 670 8th Court
Zip Code: 32951 Fax: City: Vero Beach State:FL
Phone No.772-370-6875 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-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.
l
SUPPLEMENTAL CONSTRUCTION LIEN:LAW INFORMATIO:N:. -
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 thepermit 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 our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S+- COUNTY OF 5t L AA(ZG -PJ
The forgoing instrument was acknowledged before me . The forgoing instrument was acknowledged before me
this 2.-day of AA DI V 20 by this',) l day of M a y 20 / by
1 S i wenn riuol d
(Name of person acknowledging) (Name of erson acknowledge )
(Signature of Notary Public-State of Florida) ( ignatur of Notary Public-State of Florida)
Personally Known `� OR Produced Identification Personally Known `AOR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 203917 L *Alemxller Commission No.FF— / 90&*Alexander
NOTARY PUBLIC NOTARY PUBLIC
Ccmr"FF203917 Carred FF203917
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