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HomeMy WebLinkAboutBuilding Permit Application s ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/20/16 Permit Number: t 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 NO £ ""'V NT "Tl V IN , Address: 5306 SUSON LN Legal Description: HOLIDAY PINES S/D-PHASE I-LOT 168(MAP 13/12S)(OR 3878-80 Property Tax ID#: 1312-500-0169-000-8 Lot No.168 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: ,, � �EI�°D CR)PTlC►N OF WORKr � ,���` , f r`� 3 � � �� � � Install 16 x 7 Garage Door C3NT �llCT1N )NF©RMAT(QIVrgiffi 3Y '3wr 1 }L W.M.a" Adclitional work toe nertormed un er t is permit—check all appy: HVAC 0Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof Total Sq. Ft of Construction: S'C Ft.of First Floor: Cost of Construction:$ 2275.00 Utilities: Sewer 0 Septic Building Height: M1116 �ERL� � 3a zCONTRACTOR »•n k ,.,_335.x. Name Richard R Hert ����(,�� Name: Simeon Spagnuolo Address:5306 Suson LN Company: ABCO garage Door Company, Inc. City: Fort Pierce State:FL Address: 670 8th Court Zip Code: 34951 Fax: City: Vero Beach State:FL Phone No.815-531-4640 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. � � EM . . T ►L CONSfUCTIOII(IE IV 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. s _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLOR117� STATE OF FLO R D,,A COUNTY OF L GLS'] COUNTY OF The Ming instrument was acknowledgve�) fore me The forgoing instrument was acknowledged before me this ay o P , �(jNEYHAN this M day of 20 lay e ' * MY COMMISSION#FF 903558 ILLY L MONEYHAN .r';;"� * ?°: •:°`� EXPIRES:July 26,2019 1 MY COMMISSION#FF 903559 sr 41.. a 018 $ervices *�.' * evo­841V26,2019 (Name of person acknowledg RU (Name of person acknow F l BoededThmBti%stNohBenft 4U�4 (Signature of Nota7�OR Public- tate of+4 rids) (Signature of N ta=OR Public- -of" lo ' a) Personally Known Produced Identification Personally Known oduced Identification Type of Identification Produced Type of Identification Produced � - Commission No. J J J (Seal) Commission No: / J � Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS