HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED:FOR APPLICATION TO BE ACCEPTED .
Date: Permit Number: _ �u
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Building Permit Application StOZ Z' d Nnf
Planning and,DevelopmentServices
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
PROPOSM IMPROVEMI NT LOCATION,*,
Address: 7807 Santana Avenue
Legal Description:-LAKEWOOD PARK-UNIT 4-BLK 30 LOT22(MAP_13/11N)
Property Tax ID#: 1301-604-0088-0.00-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION:OF WORK:
9' x 7' Replacement Garage Door
,CONSTRU.CTIO.N'INFORMATION:
Additional work toe e orme under tispermit-checka appy:
HVAC Ei Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑Plumbing []Sprinklers ❑Gene'rator [] Roof
Total Sq. Ft of Construction: S Ft.of First.Floor:
Cost of Construction:$ 1,135.00 Utilities:-Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Martha Queen Name: Simeon Spagnuolo
Address:7807 Santana Avenue 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.772-464-4845 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.
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 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.
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder -57
STATE OF FLORIDA STATE OF FLORJPA
COUNTY OF :�4 .USC A-Z COUNTY OF ,
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this 4 day of (A—A-.,2_ 20 Eby this 01 day of(A_V1:Q. 20 by
1 SIm-eaYl C'>P 0
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of NotaryyPPublic-State of Florida)
Personally Known OR Produced Identification Personally Known l` OR Produced Identification
Type of Identification Produced Type of Identification Produced __. �jrYender
Commission No. 4I ( pay Alexander Commission No. N J YPU9 IDA
NOTARY PUBLIC gpOF FLOR
17
TATE OF FLORIDA Cacnn X
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Cam*FF203917 Expires
Revised 07/15/2014 Expires 2/2612019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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