HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO
�rMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �
Date: l • ��' I, 1 Permit Number: /�11' I V l - �
<s� JUL 4 a 2H'�7
Building Permit Application PE117ii,IG
Planning and Development Services St. Lucie Ceunn, FL
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential --
PERMIT APPLICATION FOR:
P'RO.P®SED IiNPR®1/E , ENl" LOCATh
Address: ® J
Legal Description:
Property Tax ID#: Ocx)l Lot No.
Site Plan Name: r �l�"Le� �C,�,�o( Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAI�ED�DES:CRIPThON OF WORK: -
rrx
CO'NSTRl1CTI0N INFOR Tf®N:
Additional work to be performed i incier t -Is permit-check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters Xinclows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction; Sq. Ft. of First Floor:
Cost of Construction:$ Utilities: —Sewer _Septic Building Height:
0 ICERL-�SSE ®NTRAC;TOR:
Name Name:
Address: DCompany`��c�S
City: r= State: Address: O L- •61z✓
Zip Code: ./Fax: City: % 2-1 State: QA
Phone No. / Q�'7o� Zip Code: ZVgg1 Fax.,377--255 0?�f
E-Mail: Phone No -777—` Lej - 1 Y9,%
Fill in fee simple.Title.Holder�on,next.page(if different E-Mail
from the Owner listed-above);' State or County Licepse
If value of-constructioii'is 25006r mo
re;4RECORDED Notice of Commencement is required: =` - - --'• -'_ - .-:. •..:
Sl1PPLE�II =M0S_TR<l!'Cl"10'N LIfN LAeW INIFORMATI®N'
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:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation_as indicated.
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.
SigOVure of Owner/Lessee/Contractor as Agent for Owner '--signature of Contractor/License Holder
STATE OF FLORIDAFLORIDA
COUNTY OF nr� COUNTY OF
The f going instru_mme was acknowledged efore me The foc oing instru as acknowledged before me
thi�day of---7- 2 by this day of—:f/4/, 20`/x% by
(Name f person acknowledging) (Nam of person acknowledging)
NI& RIO
(S' nature of Notary Public-State of Florida ) (S' nature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificat'oi' n Type of Identification
Produced Produced
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE P4?f, Notary u is
COMPLETE c Llse am isso n FFhara962709 :°`fir I � otary Public State of FI rich
eV. th
Expires 02118!2020 moa My Commissio�FF9627�09 �
of w�` Expires missi
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JUL
Quote Order Acknowledgement POIP
:Job Name.george chades Si- Lucia C;cj!jjtj'
o Florida Customer Contact: FL
877-342-1183
Fax 800-477-3655 Job Address:
Outside of Florida Customer Contact: quote A
866-748-6444
Fax 866-748-6411
R7 aorderifi`46�i r 0
Ordered By:Bob Stelgerwalt
International Customer Contact:
866-748-6444 - P
www.pgfindustdes.com Fax 941-480-2754 Tapet
Bill TO Ship To
j008506 A00874 MONTEREY GLASS SPECIALISTS INC
MONTEREY GLASS SPECIALISTS INC 851 SE MONTEREY ROAD
851 SE MONTEREY ROAD 108506
STUART,FL 34994-4506 STUART,FL 34994-4506
Phone# Fax#(772)283-1919 Phone# Fax#(772)283-1919
Line# Item Description Quantity Line Pricing
0001 FD6555 FRENCH DOOR SERIES 5555 'Ordered: Cos PE
(1.00) .,63.75X79.75,5468,WGR,NONENONE,NONE,OUTSW 1.00
ING,1.375EXTERIOR,XX,ACT R PANEL/INACT
L,DUMMYN,KD FRM,.x,LIT211AA5
Certification Type:MIAMI NOA Selection:16-0126.04
Assembly Type:XX Size Selection:NOMINAL
Site Code:5468.0000 Actual Size.63 3/4 X 79 3/4
Assembly Sz:63 314 x 79 3/4 Opening Size-64 X 80
Frame Color.White Door Swing:OUTSWING
Threshold Type:1.375EXTERIOR Primary Panel:RIGHT
Does unit need to meet Turtle Code:NO Glass Family:Laminated Insulating
Argon Gas:NONE Glass Color.GRAY
Low E:NONE Privacy Glass:NONE
Colonial Type*NO Grid Inactive Hardware Prep.DUMMY
Hardware Color Seth Nickel PVD Keyed Hardware Alike:N
Anchor Group:B.FD5555 Boxing Options:None
KID:Y Ace Glass Breakage:N
5/8 Add-on Flange:N Door Glass:1 3/16!'[G(1/8TMP-1 1116 AIR-5116
Door Glass Color.GRAY Door Interlayer.PVB090
Send Primary Lock:Y Hardware Style:80OLVR
Send Inactive Lock.Y CARAI I6 t 126.04
PositiveDesignPressure:50.0000 �Negativel)eslgnPressure:50.0000
PANumber FL-253 EnergyStar.NONE
Condi-nsaflonResistance:47.0000 UF:0.4200
SolarHeatGainCoeff 0.3300 VT:0.3100
vrcoG:0.5300
Location: Notes:
Products Ordered Total Quantity TOTAL AMT:
FD5555 I
TOTAL TAX:
ALL DELIVERY DATES ARE SUBJECT TO CREDIT NET
APPROVAL AMOUNT:
The pricing on this quote will expire within 90 days of quote creation date.Verification of
quantity,size and color are required by customer prior to process of order.Any changes
made to quote.may result in a difference in pricing.
PGT only supports the use of AAMA 501-05 and 602-02 as the standards for field water
testing of PGT products.Please refer to http:liwww.pgtindustries.com Dealer View
"Message Section"section for more Information.
—n—+4-inm/pynniinti-')/RennrtingffS(SnvooDk4iccamfvzinqndzcv))/ExoRepo... 6/22/2017