HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `
Date:'�-' 1-1 � \q Permit Number:
RED'.' JUN 0 7 2016
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
PROPOSED #11/#PRC?'1/EMENT L(7CATI",
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Address: 4949 N.A1A#221
Legal Description.. BREAKERS LANDING UNIT 221 (OR 3073-1326)
Property Tax ID#: 1414-602-0088-000-2 Lot No.
Site Plan Name: William Pratt Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETA#LED DESCRIPTION OF UVORK: �
Install 8 x 7 Garage Door
CONSTRUCTIQN #NFOR#VIATION
Additional work toe e orme under t is permit—c eC 'a appy:
11HVAC Ei Gas Tank E]Gas Piping 1:1_Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: 1 Sq. Ft.of First Floor:
Cost of Construction:$ '-i 5•�O Utilities: Sewer El Septic Building Height:
WNEf2/LESSEE CONTRACTOR
Name William Pratt Name: Simeon Spagnuolo
Address:45 Putting Green Ln Company: ABCO garage Door Company, Inc.
City: Zebulon State:NC Address: 670 8th Court
Zip Code: 27597 Fax: City: Vero Beach State:FL
Phone No. 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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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 Contra icense older
STATE
COUNTY OF ORIDA�v)Cf L a n t2 t�i2 STATE OF FLORIDA n
!! COUNTY OF ( ccn 2ivy
The f ping ins u ent was acknowledg before me The forgoing instrument was acknowledge before me
this�J day of 20� by this qday of 20Q by
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of No y ublic-State of Florid (Signature of ' tary`Pu/blic-State o lorida)
Personally Known OR Produced Identification Personally Known Y OR Produced Identification
Type of Identification Produced Type of Identification Produced
2� Seal
Commission No.� � J�5q (Seal) Commission No�
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS