HomeMy WebLinkAboutBuilding Permit Application P;LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/20/16 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
PERMIT APPLICATION FOR: Window/door
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Address: 5105 FEATHER CREEK DR
Legal Description. HOLIDAY PINES S/D-PHASE II-B-LOT 412(MAP 13/13N)(OR 1741-1157
Property Tax ID#.. 1312-801-0215-000-0 Lot No.412
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DTAILED}DESCRIPTION OF WORKRAO
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Install 16 x 7 Garage Door
CQNSTRUCTION INFORMATION
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Additional work toe e orme under t is permit—c ec a appy:
❑HVAC Ei Gas Tank ❑Gas Piping _Shutters Windows/Doors
❑Electric ❑Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1340.00 Utilities: Sewer❑Septic Building Height:
?kMERjIE�SEE CONTRACTOR
Name Gary J Gillette Name: Simeon Spagnuolo
Address:5105 Feather Creek Dr 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.772-216-0718 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.
}yUhPPLEMEN1`AL CONSTRUCTION LIEN LAIN INFORMATION ' ' 3
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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 Contractor/License Holder `
STATE OF FLORID&�I STATE OF FLO702 1�
COUNTY OF I / ltd CCC �� COUNTY OF l nCG't'-�
The or oing instrument was a nowledge efore me The for�°jng instrurpent was acknowlecig d before me
thi' day of 20 y this— ay of 20 by
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(Name of person acknowledging") (Name of person acknowledging') I
(Signature of No y Public-State c0ld rida) (Signature of Not" Public-S 'te of F ida)
Personally KnownProduced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. a�`;� �e4TT KELLY L.MONEY mission No 1 al)
* MY COMMISSION 1 FF �'�' �e KELLY L.MON
EXPIRES:July 26, 019 * * MY COMMISSION t FF
rqr foF�Q� one •.,,��,.�! Bonded ThN Budget Notary S
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS