HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d
Date: 2/9/2017 Permit Number: �1 b3 d ad D
x � RECEI%''D "AR 01 2017
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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
PROPOSED PROVEMENT
IMLOCATION
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Address: 5207 Echo Pines Cir E, Fort Pierce, FL 34951
Legal Description: HOLIDAY PINES S/D-PHASE II-B-LOT 393 (MAP 13/12S)(OR 3186-822)
Property Tax ID#: 1312-801-0196-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Replace existing windows w/ PGT 5500 series white vinyl impact (pro view) single hung windows.
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CONSTRUGTIQNINFORMATION
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Additionalworkto eperformed under tis permit—checka„ appy:
HVAC E]Gas Tank ❑Gas Piping M_Shutters Windows/Doors
Electric ❑ Plumbing OSprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 5,425.00 Utilities:cn Sewer[]Septic Building Height:
W,
T.
CONTRACTOR:
Name Peter Utz&Barbara Utz Name: Daniel W Beard
Address:5207 Echo Pines Cir E Company: Vero Glass & Mirror
City: Fort Pierce State:FL Address: 1669 Old Dixie Hwy
Zip Code: 34951 Fax: City: Vero Beach State: FL
Phone No.772-460-7255 Zip Code: 32960 Fax: 772-562-1474
E-Mail:Peterutz@utz2.com Phone No. 772-567-3123
Fill in fee simple Title Holder on next page ( if different E-Mail: danb@veroglass.com
from the Owner listed above) State or County License: SCC131151280
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SU'pLEMENTAl.CONSTRUCTiC}N LIEN LAW INS
ORitlIATION
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
cogpymricing work or recording our Notice of Commence t.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 1 rc :, t c-,. C COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 104 day of 20
.nby this_1()"F day of Fe-_baArx_r9_—,20 n by
(Name of person acknowledging) (Name of person acknowledging)
(Signa re of o ary Publi State of Florida) (Signa a of ary Public-State of Florida)
Personally Known OR Produced identification Personally Known V OR Produced Identification
Type of identification Produced 1=t oY' Type of Identification Produced
Commission No. Ppc)4 uul_l1 (Sear Commission No. FFA Y f.Pl06_--,1 (Seal)
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DATE
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