HomeMy WebLinkAboutBuilding Permit Application 1�
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1
Date: 213/16 Permit Number: I ��n
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Building Permit Application FEB 0 5 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St.Lucie county,FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Wiado--w-Td-oFor
PROPQSED IMF?ROVEMENT LOCATION za ...
Address: 7905 Pensacola Road
Legal Description: Lakewood Park Unit 6-BLK 63 Lot 22(Map 13/02S) (OR3219-714;3761-1055)
Property Tax ID#: 1301-606-0130-000-7 Lot No.22
Site Plan Name: Block No. 63
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION aF'WClRK
r
Remove & Replace 10 x 7 Garage Door Ab
V_ l597
CONSTRUCTION INFORMATION 3 g
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Additionalwork
,to 15—e—ro—efformed under this permit—check all appy:
❑HVAC Gas Tank []Gas Piping _Shutters Z Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1120.00 Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE
NT R.
CO RA "
Name Kenton Smith Name: Simeon Spagnuolo
Address:6306 E Seminole Road 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.468-0438 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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SUPPLEMENTAL CONSTRUCTION LIEN LAIN 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 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-v�fbner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLO IDA�p STATE OF FLORIDA 0 1 '
COUNTY OF �FLk�a-� Q-1 U�E'/� , COUNTY OF (FLORIDA
P-L VQ'I\
The forgoing instrum nt was acknowledggd before me The for oing in t�ment was acknowledged before me
this_'&day of 201(P this day o 20 1(D by
1
(Name of person acknowledging) (Name of person acknowledging)
(Signature Ootary Public-.State of NcAda) (Signature o4110 y Public-State of Flori
Personally Known�OR Produced Identification Personally Known ' // OR Produced Identification
Type of Identification Produced Type of Identification Produced
C�
Commission No. {� !(Seal) Commission No.t—F q 3559 (Seal)
KELLY L.MoNEYHA o,V. ; KILLY L M ONEYHAN
avow
* * �`
EXPIRES:July 26,2019 N, EXPIRES:J426,2019
Revised 07/15/2014
alATEOF oP Bonded Thru Budget Notary Services �tZnde Bonded AN Budget NoleryS
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS