HomeMy WebLinkAboutBuilding Permit Application �,I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/19/16 Permit Number:
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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
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PERMIT APPLICATION FOR: Window/door
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PROPOSED IMPROVEMENT LQCATI'
Address: 6512 Flora Way Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 7-BLK 78 LOT4(MAP 13/02N)(OR 824-433)
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Property Tax ID#: 1301-607-0207-000-1 Lot No.4
Site Plan Name: Edward Stowell I Block No. 78
Project Name:
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Setbacks Front Back: Right Side: Left Side:
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DETAILED' DESCRIPTION OF WORK:
Install 16 x 7 Garage Door
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CONSTRUCTION INF.OkMATION: II
Additional work to e e ormed under tis —checkpermit a _apply: ❑�J
❑HVAC be
Tank ❑Gas Pi in Shutters
Windows Doors
Electric ❑ Plumbing Sprinklers Generator ❑� Roof
Total Sq. Ft of Construction:1240.00 S . Ft.of First Floor:
Cost of Construction:$ Utilities: —Sewer 11 Septic 'Building Height:
:•OWNER/LESSEE:: - CONTRACTOR #`
Name Edward H Stowell Name: Simeon Spagnuolo
Address:6512 Flora Way Company: ABCO garage Door Company, Inc.
City: Fort Pierce State:FL Address: 670 8th Court
Zip Code: 34951 Fax: City: Vero Beach iI State:FL
Phone No.466-9419 Zip Code: 32962 1 I. 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 LAW-INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: .'f State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: I' Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 ip 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 organ attorney before
commencing work or recording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/Licens er
STATE OF FLORIDA ��p STATE OF FLORI
COUNTY OF .o(,�%Z,n ��� l/ i COUNTY OF
Thef r oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l_day of 20by this cday of ~' l;l 20 )�" by
(Name of person acknowledging) (Name of person acknowledgingi)
cA961oy
(Signature of N :nOR
Public- tate of F . a) (Signature of N toy Public-State of Florid )
Personally Known Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Prroduced
Commission No.1_ao3551 �Pf,5g1) Commission No—I
i [d3,5S� (Seal)
a°:•••;�% KELLY L.MONE
MY COMMISSION A F 903559 ter Pu
Nr °� EXP ES: y MY COMMISSION OFF!
Revised 07/15/2014 9rFOF Q Bonded Thru Budget Notary Servkes
EXPIRES:July!r,,
Bon
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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