HomeMy WebLinkAboutbuilding permit ALL 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: 4802 PALEO PINES CIR., FORT PIERCE, FL 34951
Legal Description: HOLIDAY PINES S/D-PHASE II-B- LOT 309 (MAP 13/13N)(OR 3521-2715)
Property Tax ID#: 1312-801-0112-000-8 Lot No.309
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing windows (15 total) with PGT 5500 series white vinyl insulated impact windows.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all h apply:
11HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 17,400.00 Utilities:'nSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Ernest Oliveira Donna E Oliveira Name: Daniel W Beard
Address:5 Wades Way Company: Vero Glass& Mirror
City: Dennis State:MA Address: 1669 Old Dixie Hwy
Zip Code: 02638 Fax: City: Vero Beach State:FL
Phone No.508-360-6021 Zip Code: 32960 Fax: 772-562-1474
E-Mail:ernieolivel2@gmail.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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��--II# ou intend to obtain financing, consult with lender or an attorney before
commenci work or reeordin ur Notice of Commencement.
� s
gna re of Owner/Lessee/ gent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF lrAd;c� t�—+Jt�,; COUNTYOF
I
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�D 11 day of 20 !S�' by this_, day of 20 k Y, by
(Name of person acknowledging) (Name of person acknowledging)
\'�' C� :�z .. 'R,
(Signature of Nbt ry Public-Stat-e of Florida) 'Sid gna u�re of(P�tary Public-State of Florida)
Personally Known OR Produced Identification r Personally Known OR Produced Identification
Type of Identification Produced, fv c c Type of Identification Produced
Commission No.�\ UWJ--_t (Seal) Commission (Seal)
$KYLA HUSH LA U3N
MY COMMISSION#FF24 :• MY COMMISSION#FF246657
Revised 07/15/2 INC,L ,' EXPIRES July 05.2019 ar
153 Fyoddallowryser �. EXPIRES July 05.2019
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No. 1312-801-0112-000-8
State of Florida,County of St.Lucie
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 II-B-LOT 309(MAP 13/13N)(OR 3521-2715)
General description of improvements Replace existing windows(15 total)with PGT 5500 series white vinyl insulated impact windows.
owner/lessee Ernest Oliveira Donna E Oliveira
Address 4802 PALEO PINES CIR.,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 0 z
�Address 1669 Old Dixie Highway,Vero Beach,FL 32960 Fax# 772-562-1474 5 a
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o
Surety Phone# w c
Address Fax# u N
O o '
Amount of Bond o N
N IL
Lender Phone# v=z o o
0aao
o �
Address Fax# N N
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served; =3 o
by Section 713.13(a)7.,Florida Statues: a. °m O
Name Phone# 0 a W
� Y)U-0 W
Address Fax#
In addition to himself,owner designates of
Phone# Fax#
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13,F.S.,AND CAN RESULT IN YOUR PAYING TWICE FOR ROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEF RE THE I INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN BEFORE 0 EN G WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
wner/Lessee,or Owneeg—okkesse0s Authorized Officer/Director/Pa i er/Manager/Signature
Signatory's Title/Office
State of Florida,County of
Acknowledged before me this day of 20$,by
who is personally own to me or who has produced as identification.
t--2-S! nature of Notary Type or Print Name of Notary (Seal)
Title:Notary Public Commission Number����1�c3 c� -
;''" SKYLA RUSH
k� MY COMMISSION#FF246657
EXPIRES July 05,2019
f4r.,-,;:ya-0153 F7or daNutarySeiv ce.cofn
�E] VE RO GLA55 & MIRROR Sales Order
MET/cro
669 Old [?ixie Highway
beach, FI 32900 772-507-3123 Fax772-562-1474 Date S.O. No.
12/28/2017 4448
Name/Address Job Address Gate Code
Ernie Oliveira Holiday Pines
4802 Paleo Pine Circle 4802 Paleo Pine Circle
Fort Pierce, FL 34951 Fort Pierce, FL 34951
Customer Phone# Salesperson Job Contact Job Contact# Job Folder
508-360-6021 Joe Ernie 508-360-6021 N
Warranty: N Billable Labor Warranty: N I Extra to Contract: N
Item Description Qty Rate Amount
Window/ Door Inst... Replace existing windows with PGT 5500 series
white vinyl 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... (3) - 53" x 50 5/8" HR
Window/ Door Inst... (1) - 73" x 50 5/8" HR
Window/ Door Inst... (3) - 105" x 50 5/8" HR (XOX)
Window/ Door Inst... (4) - 52" x 50 5/8" SH
Window/ Door Inst... (2) - 36" x 50 5/8" SH
Window/Door Inst... (2) - 26" x 38" SH
Window/ Door Inst... (1) - 50 5/8" Mull Bar
Window/ Door Inst... Total Installed (including materials) 17,400.00 17,400.00
PGT PO 4045
Work Performed Total
Installer: Date: Time: Completed by:
Pagel
ME] VE RO GLA55 & MIRROR Sales Order
F�]E] 1009 Old Dixie Highway
Vero Beach, FI 32900 772-507-3123 Fax772-562-1474 Date S.O. No.
12/28/2017 4448
Name/Address Job Address Gate Code
Ernie Oliveira Holiday Pines
4802 Paleo Pine Circle 4802 Paleo Pine Circle
Fort Pierce, FL 34951 Fort Pierce, FL 34951
Customer Phone# Salesperson Job Contact Job Contact# Job Folder
508-360-6021 Joe Ernie 508-360-6021 N
Warranty: N Billable Labor Warranty: N I Extra to Contract: N
Item Description Qty Rate Amount
Touch Up Paint Interior/Exterior touch up painting or finish O.00T
painting to surrounding surfaces or any minor
damage that may happen to the brick during
the removal of the old windows, if required, is
not provided for in this estimate. Please keep in
mind that this is a construction job and during
the course of installation some dust may
accumulate.
Permit/Eng. Fees N... Contract price does not include building permit O.00T
fees. Permit fees, if required, will be invoiced as
an extra charge.
Paid Deposit 12/28/17 ($8,700.00) Discover
Sales Tax 7.00% 0.00
Work Performed Total $17,400.00
Installer: Date: Time: Completed by:
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