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HomeMy WebLinkAboutBuilding Permit Application F Lk-R40,A_ICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Da6/21/16 Date: Permit Number: 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 J P,;�Q,POSED 111liPRQUEME;1,�4,T L'OCAT�QN , � � t , 'k Address: 6209 Lilyan Parkway, Ft. Pierce, FL 34951 Legal Description: LAKEWOOD PARK-UNIT 8-A-BILK 5 LOT 23 (MAP 13/02S)(OR 335-999; 3413-582) Property Tax ID#: 1301-609-0067-000-3 Lot No.23 Site Plan Name: Block No. 5 Project Name: Setbacks Front Back: Right Side: Left Side: DfTAILEDDESCRlPTION DF WORK: " Install 18 x 7 Garage Door MRF,ORM`AT)ON .. ., - a i itiona worK to be performed under this permit—cheCK all appy: QHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 1600.00 Utilities:-Sewer l:]Septic Building Height: O�I�INERjLES 'E� CONTRACTOR Name Lisa Collison Name: Simeon Spagnuolo Address:6209 Lilyan Parkway Company: ABCO garage Door Company, Inc. City: Ft. Pierce State:FL Address: 670 8th Court Zip Code: 34961 Fax: City: Vero Beach State:FL Phone No.633-5101 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. JAptEMEN L,CQNSTR'UCTION LIEN LAIN 11VFdRMA►TION s } 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: 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 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. s _Signature of caner/Lessee/Agent Signature of Contractor icense o er STATEY OFFLORIDA Jor'l r �z n j 1� / STATE OF FLORIDA COUNTY COUNTY OF I rl�:\1(aCl The forgoing instrument wa acknowledged before me The fo�going instrument was acknowledged before me this day off= 20(4/by this -day of _ 1`�� 20 by 1 (Name of person acknowledging) (Name of person acknowledging) (Signature of Wtary Public-State Wlo.rida) (Signature of Not44 Public-State of Florid Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No:�0 JG 9 (Seal) Commission No���©� O"�. y POB4 Ia:LLY L.MONEYHAI r ;•••.°v� KELLY L.MONEY a ;••••• o * MY COMMISSION&FF 13559 * * EXPIRES:July 26,2019 e Y 9 Revised 07/15/2014 �'q ��°T Bonded Thru Budget Notary Services Nlq"SaF �! Bonded Thru Budget Notary rvices AfOF F� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS