HomeMy WebLinkAboutBuilding Permit Application y`
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^ )
Date:
12/29/2015 Permit Number: �t rte' 0`tq
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Building Permit Application
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
;P'RQPOS�Q IMPROUEMN3j LOCATI. N, ` { ; ..
Address: 6802 BAYARD RD, FT .PIERCE, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 10-BLK 132 LOT 3 (MAP 13/01 S)
Property Tax ID#. 1301-612-0319-000-5 Lot No.3
Site Plan Name: Block No. 132
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAI ED IDMRIPTION
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Remove & Replace 9 x 7 Garage Door
C ��ISTRUCTON INFORMTION
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A- man
itiona wor to a .e orme under tis permit—c ec all
appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 815.00 Utilities: Sewer Septic Building Height:
z ' ( 3 E 3 3 Ftg
01fN ER/L'ESEE rv'. CONTRACTOR ,
NameWilliam R Bryant Name: Simeon Spagnuolo
Address:6802 Bayard Rd Company: ABCO garage Door Company, Inc.
City: Fort Pierce State:FL Address: 670 8th Court
Zip Code: 34951 Fax: City: Vero Beach State:FL
Phone No.473-7526 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.
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�S�PPLEMEf� L CC}NS;TRI�CTIQN LIILAIN 1NORMATION, ��
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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.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF lndlan River COUNTY OF Indian River
The orgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of VD r 20 by this Z�`day of �— ,20 l by
Simeon Spagnuol& Simeon Spagnuolo
(Name of person acknowledging) (Name of person acknowledging)
.2�"OnOL�L' 0-10
(Signature of NdtaYy Public-Stat f Flori ) (Signature of Nd&y Public-Sta f Florida
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF903559 (Seal) Commission No. FF903559 (Seal)
KELLY L MONEYHAN io��;::�°°c�, KELLY L MOHAN
NEY
WMNISSIONIFFOM
Revised 07/15/2014 * * EXPIRES:July 26,2019 ` * EXPIRES:July 2i,2019
�4,f7oFft°.41 Bonded Thru Budget Notuy Services P'�,EOW BcadtdThruludgetNo"SOMb
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS