HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETEDFOR.APPLICATION TO BE ACCEPTED
Date: 1 Permit Number: '
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Building Permit Application NOV /2 2017
Planning and Development Services
Building and Code Regulation Division
1300 Virginia'Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
VRA
MP�ROPOSE® 11VIPROVEMENT
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Address: 5700 Eagle Dr Fort,Pierce,FL 34951
Legal Description: HOLIDAY PINES SLD-PHASE I-LOT 84(MAP 13/12S)(OR 646-2373)
Property Tax ID#: 1312=500-0085-000-5 Lot No.
Site Plan Name: Block No..
Project Name:
Setbacks Front Back: Right Side: Left Side:
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3, ` ca;Lrk t... ry t4 7."'+ d,•.,. .may
Replace existing windows (11)w/PGT 5500 series white vinyl single hung style insulated impact
windows.
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itiona wor_.o =e a Orme un �er t is permi -c ec aapp y:
OHVAC I-1 Gas Tank ❑Gas Piping _shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator a Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction-$ 8,561.00 Utilities:l l Sewer Septic Building Height:
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QWIUER/LESSEE, 1 CONS' i Mc-TOR r'
Name Ira Pfalzgraf Margaret A Pfaligraf Name: Daniel W Beard
Address:5700 Eagle Drive 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.772-595-7192 Zip Code: 32960 Fax: 772-562=1474
E-Mail:Pfalz9raf7@a0l.c0m 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.
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:DESIGNER/ENGINEER: Not A Ilcable NY• _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: Phones 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 Associationand 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 Commencementmay 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.
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_Signatu a of Owner/Lesse Agen Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF lr,,r',r; r, „/e_r COUNTYOF_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this..Vz day of, n 20 3aby this 9(o day of 20 1 by
d..�rurk•r_r=
(Name of pers67i acknowledging) (Name of person acknowledging)
(Signa r of Notary Public-State of Florida) (Si a lire of lotary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Producedl�i\S( R� 1 a c(-3r'v=c-. Type of Identification Produced
Commission No. ,-Q t&nIF;0 S mission No.` VQi1 k (Seal)
Ile ...SkYLA AW114» BKYh.A RUSi{_
, EXAIRES Juy 05,2019 r -' W COMMISSION#
Revised 07/15/2014EXPIRES July 05,2ot
4407;3'0""153• servk..00m •• ;4'., -
67 " 133 Floridalhxa 3ervke.Wm. .
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS