HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: 12/17/15 Permit Number:
RECEIVED
, .
Building Permit Application DEC 18 2015
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
PIQPOSED Il\%1PR01%EMENT LOCATIC}N.. ..
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Address: 2322 Oak DR, Fort Pierce, FL 34949
Legal Description. REV PL OF FORT PIERCE SHORES-UNIT 5-BLK 28 LOT 4(OR 251-886: 1526-895;3503-2188;3732-264)
Property Tax ID#: 1436-602-0009-000-3 Lot No.28
Site Plan Name: Block No. 4
Project Name:
Setbacks Front Back: Right Side: Left Side:
It EQZ' SCRIPTION,,OF 111/ORK'j V1"
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Remove & Replace 9 x 7 Garage Doors
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CON STROR'I1llATIQN n '}
Additional work to be nertormed
. under this permit—check"all appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
❑Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1910.00 Utilities:cn Sewer❑Septic Building Height:
a1NNER/LESSEE C(}NTRA'CTO
Name Norma Boyd Name: Simeon Spagnuolo
Address:2322 Oak Drive Company: ABCO garage Door Company, Inc.
City: Ft. Pierce State:Fl Address: 670 8th Court
Zip Code: 34949 Fax: City: Vero Beach State.FL
Phone No.465-5748 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.
5
5,UPPLEMENACN5tUCTION LlN LAW 1NFORMATtON `
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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 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 our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contras o er
STATE OF FLORIDA u STATE OF FLORIDA V71l V
COUNTY OF COUNTY OF �—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of De c�—� ` 20 Lrby this �1 day of 1 r-L� `'tom.20 E by
Sl r n eoyl S Yl t,� C� S wec,n Spm a�
(Name of person acknowledging) (Name of person acknowledging)
( ignature of No ry ublic-State of Florida (Signature of Nbtafy Public-State of Florida)
Personally KnownOR Produced Identification Personally Known��OR Produced Identification
Type of Identification roduced Type of Identification Produced
o C�, ) KELLY L MONEY � O�pR(`� KE LY L MONEYF+Y-
Commission No. 1�' I ommission No ��3� :•"• a�L
• * MY COMMISSION 4 FF 59 * W COMMISSION t FF x•?.
s EXPIRES:Jury 2` .'t
0F Mow Bonded Tin Budget NoUry 5ervkes '�� �k4r� � L
Revised 07/15/2014 r * MY COMMISSION I►FF
EXPIRES: 26
BondedilnBudgetNotuy
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
[INITIALS