HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/19/16 Permit Number: �i
71
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Building Permit Application i '
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
PROPOSED IMPROVEMENT LOCATION:
Address: 1875 Timberlake Dr Fort Pierce, FL 34947
Legal Description: TiMBERLAKE ESTATES LOT 1 (0.75 AC)(OR 1904-1712)
Property Tax ID#: 2302-601-0005-000-3 Lot No.1
Site Plan Name: Block No.
G SEI
Project Name: Glen Wright
Setbacks Front Back: Right Side: Left Side;
DETAILED DESCRIPTION-OF WORK:
Install 16 x 7 Garage Door
N U ION INFOR_ ATION':
STR` CT
Additional worKto De performed under this permit—check all th-at apply:
F]HVAC Fi Gas Tank ❑Gas Piping Shutters V Windows/Doors
Electric 0 Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction:$ 1320.00 Utilities'In Sewer FIs '
�ptic Building Height:
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Name
Glen Wright Name: Simeon Spagnuolo
Address: 1875 Timberlake Dr Company: ARCO garage Door company, inc.
City: Fort Pierce State:FL Address: 670 8th Court :I I I
Zip Code: 34947 Fax: City: Vero Beach I' State:FL
Phone No.786-734-3383 Zip Code: 32962 i 1 Fax: 772-567-0894
E-Mail: Phone No. 772-567;-9098
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Fill in fee simple Title Holder on next page if different E-Mail: abcodoorvb@outlo .com
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from the owner listed above) State or County License:_27�.233
1 �1:'
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGN ER/ENGI NEER:
NFORMATION:DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address: I'
City: State: City: I' State:
Zip: Phone: Zip: Phone: II
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
.II.
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 holderto 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 an Ether non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result)n 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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_
_ wner Lessee/Agent Signature of
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STATE OF FLOR D � �Q� STATE OF FLOI�DA( n
COUNTY OF l/an �i r v L. COUNTY OF �( �_a(0J);i IL-1 V��
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The f r ing instr a was ac iowledgeypeforeme The forgoing instru ent was acknowledged before me
this day of 20 It Zby this day of Q n 20 by
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(Name of person acknowledging) (Name of person acknowledging)
( ignature f otaVPrduced14
to of FI ri a) i n ure of Nota 70R
'te of Florida)
Personally Knownroduced Identification Personally Known roduced Identification
Type of IdentificatType of Identification Produced
Y COMMISSION It FF 9035 9 ��;",`'�i4
Commission N . c±a� Commission No. ®� J I $ I KELLY MONEYNA
EXPIRES:July 26,201 * MY COMMISSION 9 FF 9
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Bonded Thru Budget Notary Seryes I wr a EXPIRES:July 26,20
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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