HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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 LOCATION:
Address: 5700 Eagle Dr Fort Pierce, FL 34951
Legal Description: HOLIDAY PINES S/D-PHASE I- LOT 84 (MAP 13/12S) (OR 646-2373)
Property Tax ID #: 1312-500-0085-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
I DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
Replace existing windows (11) w/PGT 5500 series white vinyl single hung style insulated impact
windows.
mitionai worK to t)e ertormed under this permit — check all
11HVAC E] Gas Tank ❑Gas Piping
11 Electric ❑ Plumbing Sprinklers
h
In
apply:
Shutters Q Windows/Doors
Generator Roof
Ei
Total Sq. Ft of Construction:
Cost of Construction: $ 8,561.00
S Ft. of First Floor: _
Utilities: O Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ira Pfalzgraf Margaret A Pfalzgraf
Name: Daniel W Beard
Address: 5700 Eagle Drive
Company: Vero Glass & Mirror
City: Fort Pierce State: FL
Address: 1669 Old Dixie Hwy
City: Vero Beach State: FL
Zip Code: 34951 Fax:
Phone No. 772-595-7192
Zip Code: 32960 Fax: 772-562-1474
E -Mail: pfalzgraf7@aol.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
IT value of construction is $ZWU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
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 your Notice of Commencement.
s
_ Signatu a of Owner/ Lesse Agen Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � ; -4 r-, - " �'i COUNTY OF
The forgoing instrument was acknowledged before me I The forgoing instrument was acknowledged before me
this,') w day of 20 _aby this= lL- day of 20 V by
(Name of persod acknowledging) (Name of person acknowledging )
of Notd'ry Public- State of
Public- State of Florida )
Personally Known OR Produced Identification -�/ I Personally Known c OR Produced Identification
Type of Identification Produc41 \v < i ccType of Identification Produced
Commission No. k
Revised 07/15/2014
-.: SKYIiA RUSH
EXPIRES July 05, 2019 -
mission No. \ r fir`
7 398-0153
(Seal)
.:•$KYU1 RUS11_ '
MY COMMISSION # F
EXPIRES July 05, 201. ;;
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 1312-500-0085-000-5
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available HOLIDAY PINES S/D-PHASE I- LOT 84 (MAP 13/12S) (OR 646-2373)
General description of improvements Replace existing windows w/PGT 5500 series white vinyl single hung style insulated impact windows.
Owner/lessee-Ira Pfalzgraf Margaret A Pfalzgraf
Address 5700 Eagle Dr Fort Pierce, FL 34951
Interest in property:
Owners
Fee Simple Title holder (if other than owner)
Address
Contractor Vero Glass & Mirror
Phone # 772-567-3123
Address 1669 Old Dixie Highway, Vero Beach, FL 32960
Fax # 772-562-1474
Surety
Phone #
m ;u F=> 0
ED m z m
Address
Fax #
;0 a
o o A _
Amount of Bond
SCC
m
m CO20-1
Lender
Phone #a
-` C =
oo0p?-zii-s
Address
Fax #
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V �
Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as pr(
N
by Section 713.13 (a) 7., Florida Statues:
o o =
Name
Phone #m
� v n
Address
Fax #
z c
In addition to himself, owner designates
O
o@
C
Phone #
Fax #
X
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of nc
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNE
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMI
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOT
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO C
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
/ cm
Owner see. or Owner's or
Signatory's Title/Office
Signature
State of Florida, County of
Acknowledged before me this ,day of 20 -X_, by
who is personally known tome or who has produced as identification.
Sig aiur f Notarr Type e Print Name of Notary (Seal)
Title: Notary Public Commission Number r \:�\-A -wc--,-1 `•�y `�`�er�,'`�i° .f8�'�LA ��J � _ , ;:-
W COMMI8810N 0 FF246657
EXPIRES July 05.201i1'
��o>' �e-o�s3 Fana.t+aa s.ryk.,aom
F:HFqVERO GLA55 MIRROR
41H]1669 Old Dixie Highway
Vero Beach, F1 32900 772-507-3123 Fax 772 -562 -1474
Name/Address
Peggy Pfalzgraf
5700 Eagle Drive
Fort Pierce, FL 34951
Sales Order
Date S.O. No.
10/13/2017 3816
Job Address Gate Code
Holiday Pines
5700 Eagle Drive
Fort Pierce, FL 34951
Customer Phone #
Salesperson
Job Contact
Job Contact #
Job Folder
772-595-7192
Joe
Peggy
772-595-7192
N/A
Warranty: N/A
Billable Labor Warranty: N/A
Extra to Contract: N/A
Item
Description
Qty
Rate
Amount
Window/ Door Inst...
Replace existing windows with PGT 5500 series
white vinyl single hung style insulated impact
windows. Glass quoted as clear low -e XL 70
insulated impact. All units quoted with standard
white hardware and matching screens. Units
quoted meet or exceed the required energy
values.
Window/ Door Inst...
(5) 24" x 72" (Proview)
0.00
0.00
Window / Door Inst...
(3) 26" x 72" (Proview)
0.00
Window / Door Inst...
(3) 36" x 62" (Equal Split)
0.00
Window / Door Inst...
Price for windows above Installed
8,561.00
8,561.00
Permits Fees Not In...
Contract price does not include building permit
O.00T
fees. Permit fees, if required, will be invoiced as
an extra charge.
Touch Up Paint
Interior/Exterior touch up painting or finish
O.00T
painting to surrounding surfaces, if required, is
not provided for in this estimate. Major stucco
repair is not included in price. Minor stucco is
included in price.
Work Performed
Total
Installer:
Date:
Time:
Completed by:
Page 1
FqEaVERO C LA55 & MIRROR
�E]1009 00Dixie Highway
Wcro 0--ach, F1 32900 772-507-3123 Fax 772 -5F 2 -1474
Name/Address
Peggy Pfalzgraf
5700 Eagle Drive
Fort Pierce, FL 34951
Sales Order
Date S.O. No.
10/13/2017 3816
Job Address Gate Code
Holiday Pines
5700 Eagle Drive
Fort Pierce, FL 34951
Customer Phone #
Salesperson
Job Contact
Job Contact #
Job Folder
772-595-7192
Joe
Peggy
772-595-7192
N/A
Warranty: N/A
Billable Labor Warranty: N/A
Extra to Contract: N/A
Item
Description
Qty
Rate
Amount
Paid Deposit 10/13/17 ($4,280.00) Check #
8001
Sales Tax
7.00%
0.00
Work Performed
Total $8561.00
Installer:
Date:
Time:
Completed by:
Page 2