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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/17/2015 Permit Number:
RECEIVE®
Building Permit Application DEC 1.8 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
ROPOSED fl1%f 'R01/EMENT LOCAYION''
;.gip aA ti., �.
Address: 6306 Emerson Ave, Ft. Pierce, FL 34951
Legal Description. LAKEWOOD PARK-UNIT 8-A-BLK 5 LOT 5(MAP 13/02S)(OR 542-1836)
Property Tax ID#: 1301-609-0049-000-1 Lot No.5
Site Plan Name: Block No. 5
Project Name:
Setbacks Front Back: Right Side: Left Side:
Remove & Replace 16 x 7 Garage Door
G(?NSTR.,
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AdditionalworK toe performed under this permit—c ec a appy:
HVAC Ei Gas Tank Gas Piping _Shutters Windows Doors
11 Electric 0 Plumbing ❑Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1485.00 Utilities:[]Sewer Septic Building Height:
Wt ILL,
" CONTRACTOR
Name Marvin Simer Name: Simeon Spagnuolo
Address:795 Fox Run SW Company: ABCO garage Door Company, Inc.
City: Vero Beach State:FL Address: 670 8th Court
Zip Code: 32962 Fax: City: Vero Beach State:FL
Phone No.643-0864 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.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAWxINFO
RMATiON
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 Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �\ 0, ` f2 COUNTY OF L �-
The forgoing instrument was acknowledged before me The for oing instrument was cknowledged before me
this-Ca day of 'mac } --. 20 1�,liy this 11 day of 20 _rJ by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of No y Public- tate of Florida (Signature of No ry Pub
lic- tate of Florida
Personally Known OR Produced Identification Personally Known � Produced Identification
Type of Identification
Produced Type of Identification Pro/deuced �
Commission No. ''1 6� rj 4Seal) ommission No.��qy3s5 qI (Seal)
KELLY L MONEY B
My COMMISSION i FF 91WAY
, KELLY L,MONEYHAN
EXPIMM'July L" MT UUMMSSION I For 9M9
Revised 07/15/2014 'PA:' 4P'* Bonded 7hruBudget Notary Senices �' �� EXPIRES:Juty2s,201s
'�oF1°1'` Bonded Thru Budget Notary Servaes
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS