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Building Permit Application
a ? ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: -, .:,—.8 .- �-µ-a. rr-.�\I rte-'!`•l r Building Permit Application JUL 2 0 21? Planning and Development Services Building and Code Regulation Division PERI''-1 tTli'IG 2300 Virginia Avenue,Fort Pierce FL 34982St. Lucia County, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial � Residential PERMIT APPLICATION FOR: Window/door PfC}POSEDIM?R01%EMENT LOCbATIC}N a `' �ry � k} ,. . ,, _ .. .,w•_ Address: 802 Shorewinds Dr Apt pti,Fort Pierce, FL 34949 Legal Description: CORAL COVE BEACH-SECTION ONE-BLK 1 WLY 30.4 FT LOT 19 AND ELY 75.13 FT OF LOT 20 AND SLY 10 FT VAC ALLEY ADJ ON N (OR 1186-329:3360-1273) Property Tax ID#: 1425-701-0020-000-6 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: i �L S,•✓t1'i .,..d,3a'21'P `"' it 33 i s t 15 r r k a3 t :. °'� 'r N pETAILED D GRIP uiON OFWORIt i , '�� Replace existing windows w/PGT 5500 series white vinyl insulated impact windows with clear low-e XL70 insulated impact glass with no colonial. C 4 yvi end o w.s � -3 �CONSTR,UCTIDN INFORMATION4 , �.� n .. . , itiona work toe e rm oe under this permit—check a appy: HVAC 11 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 5 Ft.of First Floor: Cost of Construction:$ 2895.00 Utilities:Sewer Septic Building Height: 71777, © 'i�N ER/LESS'EE a r' V� v 6 a a I i 3 r f 4 i " X7 1 d56 a� CONTRA TSR. rn f - Name Charles J Van Buskirk Name: Daniel W.Beard Address:802 Shorewinds Dr Apt Pt Company: Vero Glass& Mirror City: Fort Pierce State:FL Address: 1669 Old Dixie Highway Zip Code: 34949 Fax: City: Vero Beach State:FL Phone No.772-460-9764 Zip Code: 32960 Fax: 772-562-1474 E-Mail: 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. } F a SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION { :_�°. A .3x<: a_.a.'�s,� ,. .>or.s _...•:".,.,+,•s�. `'. .. ,..,Ari sr "',.. ,� •. ..... .'_. got. aE °� � ..�"', 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 fi inspection. If intend to obtain financing,consult with lender or an attorney before commenci ork r recor nou our otic of Commencement. \A� 411W," W l�� s ignature of Own Le de/Contra for as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF r\Ak cur\ i.Pp Y'- COUNTY OF Theforgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this a� day of A civ)p20 Eby this ° 3 day of V:�C1P 20 \-A by U11 1C �� 0'n Ck L)Ck f'\ e-A 'Le a-ccL (N of person acknowledging) (Name of person acknowledging) WJS 9 L, c�e (Signatu of ary u li -State of Florida) Signat a of& otary Public State of Florida) Personally Known OR Produced Identification Personally Known_�OR Produced Identification Type of Identification Produced FL Iden Ii('/ ;onar6 Type of Identification Produced Commission No. FFa41 cLo5-1 (Seal) Commission No. F JLJ l (Ao (Seal) •VIItYLA RUSH ,.. MY COMMI53 � ,.; lff-wMY COMMISSION#FF246657 Revised 07/15/20.1 '.,+;... IEXr'IRES JWr 05.20t9 't EXPIRES July 05.2098 ...., 1401►�9Cd117 9Mrka.ep� 4 7 ` REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 14 6ra/40� / L�QVE GL A55 & MIRROR Sales Order 1609 OW I We Highway Date S.O. No. Vero Beack FI ;32960 772 567-31 IP� 2ri52= 47.4 FAHI JU4/22/2017 2551 -5&tU7R 2 A, Name/Address :rkd ; dtess Gate Code Charles J Van Buskirk Charlie Van Buskirk 802 Shorewinds Dr., Apt C 802 Shorewinds Dr#C Fort Pierce, FL 34949 Ft. Pierce, FL 34949 Customer Phone # Salesperson Job Contact Job Contact# Job Folder 772-460-9764 Dan Joe Profeta 772-460-9764 Warranty: Billable Labor Warranty: Extra to Contract: ..Qty Rate Amount Item Description.,, We are pleased We are pleased to present our proposal for O.00T the following: 'uppl�y'-.6h y PGT 5500 series 0..,o Wind 0:00 insy ate- c '6 wS_W,jh 616 or r low XL70 inated Impact,&lasswith uno-.co on la Window Door inst... 36" X 47 1/2" front 2 435.00 870.00T Wind-'O'W"/-Do'orl'ntt.;.... Paiir 5-!-7/8'1.'X-F49 5/8" 1,225.00' 1j225.00T Permits fees not inc... Permit fees not included and will be billed at O.00T cost. Glass I ,r'W'i ill"Fr6nt-Win"clows - 800.-00 - st .. lAd Veronst Window _6�orfn' 800.00 . '-wil'i have-fixed glass-remove, install q_ f cl�' "di" t' 11 windows back pai",Hswood frome stucco -4/ deposit-$1,5.20.83 osjt-$1,,520 3 . (visa) PGT PO 2266 Sales Tax _7.00% 146.65 1-3/17— C5S 5\k WWA W-3 ca,- C-3 kj,P&rf6fffi Total $3,,041.65 hx 5 Installer: Date: Time: Completed by: