HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/18/16 Permit Number: V�0 1-7"< 5G-7
. � RECEI'.' D JUL 18 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�MPR01/ MENT LOGATI`ON -. a
Address: 5205 Hickory Drive, Ft. Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 07-BLK 51 LOT 33(MAP 34/02S)(OR 3766-1272)
Property Tax ID#: 3402-608-0427-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
ETAILE3DYD' SCRIPTION`OF U1%ORKt '
Install 9 x 7 Garage Door
Mill
33
CQNSTRUCTI30N INFORl1/IATION
1 3
Aciclitional work toe p e orme un er this permit-c ec al appy:
❑HVAC Ei Gas Tank []Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1242.95 Utilities:n Sewer[]Septic Building Height:
ClWN,E'RJLESSEE �33 3 CONTRACTOR1-4
Name Hannah Becker Name: Simeon Spagnuolo
Address:6004 Citrus AVE Company: ABCO garage Door Company, Inc.
City: Fort Pierce, FL State:_ Address: 670 8th Court
Zip Code: 34982-3311 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@out(ook.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.
Sl3PPLEMENAL CONSTRUCTION LIEN LAW INFORMATION
�
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 FIL STATE OF FL07"0/ `� y�i C� n
COUNTY OF Mtt Lco P—.// Cif' COUNTY OF . O (� v J
The f r ing instrume t w s acknowledge/d efore me The for ing instrument as acknowledgg before me
this day of 20 Gv this day of 20 f by
1
(Name of person acknowledging) (Name of person acknowledging)
(Signature of No ry Public-State of Florida) (Signature of Notary, Public-State of Rod
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Personally Known R' roduced Identification Personally Known L---'-'OR Produced Identification
Type of Identification Produced Type of Identification P oduced
Commission No. 9 c) 5 Cppal) ommission No. I (Seal)
°��,p�7+Pel�c KELLY L.MONEY �PaY rue
e '••�' * MY COMMISSION A FF 3559 ��;•••.,��� KELLY L.MONEYNAN
MY COMMISSION 4 FF 903559
e Bonded Ttuu Budget Notary Se��ices EXPI u
Revised 07/15/2014 0����° °'�rFaF o� Bonded Ttw Budget Notary Servues
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS