HomeMy WebLinkAboutBuilding Permit Application 1 .
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �Oct '��
Date: 09/13/16 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
PROPOSED IMPROVEMENT LOCATLgN r #
Address: 5409 Deer Run Drive, Ft. Pierce, Florida 34951
Legal Description: Holiday Pines S/D-Phase III-Lot 463-(Map 14/07S) (OR 3175-337;3907-772)
Property Tax ID#: 1313-502-0040-000-7 Lot No.463
Site Plan Name: Block No.
Project Name: William Everhard
Setbacks Front Back: Right Side: Left Side:
DETAILED SCRI
DEPTION 'OF WORK
Remove & Replace 16 x 7 Garage Door
CONSTRUCTION INFORMATION. F
Additional work to be nertormed under this permit—check all that appy:
HVAC Gas Tank DGas Piping _Shutters • Windows/Doors
Electric ❑Plumbing Sprinklers I Generator 0 Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1,610.00 Utilities:0Sewer Septic Building Height:
OWNER/LES-SEE-.-s, CONTRACTOR:
Name William Everhard Name: Simeon Spagnuolo
Address:5409 Deer Run Drive Company: ABCO garage Door Company, Inc.
City: Ft. Piercer State:FL Address: 670 8th Court
Zip Code: 34951 Fax: City: Vero Beach State:FL
Phone No.772-925-9452 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.
SUPPLEMENTAL°CON S-T TION LI,ENIAW INFORMATION' 4
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 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 Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie CO U NTY O F St.Lucie
The forgoing insttent was acknowledged before me The forgoing instrument was acknowledged before me
this I3 day of 20 (Uby this 13 day of September 20 tLl by
Amanda Ruan 1 Amanda Ruan
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NOO C-" 0'Z"-S 11f (Seal) Commission No. G Cw 02-(, S Z� (Seal)
•:w::��"• AMANDA RUAN
t;.AMANDARUAN
Revised 07/15/2014 Commission#GG 026524 '.=Commtsston#GG n.^ ,�a
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REVIEWS FRONT VEGETATION ,� SEA
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS