HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1
Cc)EjIiVTY
F L O R t D A
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: 2308 ATLANTIC BEACH BLVD
Legal Description: REV PL OF FORT PIERCE SHORES -UNIT 4- BLK 30 LOT 15 (OR864-2777)
Property Tax ID #: 1436-603-0026-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 15
Block No. 30
Replace existing windows (10 total) with PGT 5500 series white vinyl insulated impact windows.
Haaiuonai worK to De ertormed under this permit — check all h appy:
❑ HVAC Gas Tank Das Piping 11 Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 11,050.00 Utilities:]Sewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Stephen A Dudley Caroleen M Dudley
Name: Daniel W Beard
Address: PO Box 407
Company: Vero Glass & Mirror
City: Oquossoc State: ME
Zip Code: 04964 Fax:
Phone No. 207-670-8477
Address: 1669 Old Dixie Hwy
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-562-1474
Phone No. 772-567-3123
E -Mail: stevedudley@core.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: danb@veroglass.com
State or County License: SCC131151280
11 value or construction is >c5uu or more, a Ktwrcutu Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
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 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 your Notice of Commencement.
gac_..Q s
Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 626 P,\�1c--.0
STATE OF FLORIDA
COUNTY OF Indian River
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisol�� day of( jr-,. rtc_, 20 Lby this2nd day of _ January 20 15 by
� P \L1,d vZ �_X 1 X , \- \ e ��, \-�•
(N�me cT person acknowledging) (Name of person acknowledging)
of ftotary Put lic- State of FI
Notary Public- State of Florida )
V
Personally Known OR Produced Identification Per ovally Known 1//
OR Produced Identification
Type of Identification Produced L -L b ri �/Q v5 L_ (G Type of Identification Produced
Commission No.rh.24�-1 (Seal)
Commission No.'P—,-
Revised 07/15/2014' y !;: SKYLA RUSH_ ..
MY COMMISSION # FF246657
REVIEWS FRO"
440713 1 , a rkw Not�r Servke.00mn PLANS
COUNTER REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
V EG ETATI
REVIEW
(Seal)
SKYLA RUSH
MY COMMISSION # FF246657
REVIEW I REVIEW
FqEj VERO GLA55 & MIRROR
MELI1669 Old Dixie Highway
Vero Deach, F 1 3 2960 772-507-3123 Fax 772 -562 -1474
Name/Address
Steve Dudley
2308 Atlantic Beach Blvd.
Ft. Pierce, FL 34949
Sales Order
Date S.O. No.
12/26/2017 4437
Job Address Gate Code
Fort Pierce Shores
2308 Atlantic Beach Blvd.
Ft. Pierce, FL 34949
Customer Phone #
Salesperson
Job Contact
Job Contact #
Job Folder
207-670-8477
Joe
Steve 207-670-8477 N
Warranty: N
Billable Labor Warranty: N 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...
(2) - 73 1/2" x 55 1/4" (horizontal rolling
window)
Window / Door Inst...
(4) - 36" x 19 5/8" (awning window installed
under horizontal rolling window)
Window / Door Inst...
(2) - 42" x 55" (picture window)
Window / Door Inst...
(2) - 42" x 19 5/8" (awning window installed
under picture window)
Window / Door Inst...
(2) - 76" Mull Bars
Window / Door Inst...
(2) - 19 5/8" Mull Bars
Window/ Door Inst...
(2) - 42" Mull Bars
Window/ Door Inst...
Total Installed (including materials)
11,050.00
11,050.00
PGT PO 3848
PGT SO 1134738
Work Performed
Total
Installer: Date: Time: Completed by:
Page 1
FrjE] VERO GLA55 & MIRROR
ME]1009 Old nixie Highway
Vero Beach, F1 32900 772-507-3123 Fax 772 -502 -1474
Name/Address
Steve Dudley
2308 Atlantic Beach Blvd.
Ft. Pierce, FL 34949
Sales Order
Date S.O. No.
12/26/2017 4437
Job Address Gate Code
Fort Pierce Shores
2308 Atlantic Beach Blvd.
Ft. Pierce, FL 34949
Customer Phone #
Salesperson
Job Contact
Job Contact #
Job Folder
207-670-8477
Joe
Steve
207-670-8477
N
Warranty: N
Billable Labor Warranty: N
I Extra to Contract: N
Item
Description
Qty
Rate
Amount
Permit/Eng. Fees N...
Contract price does not include building permit
fees. Permit fees, if required, will be invoiced as
an extra charge.
Paid Deposit 12/26/17 ($5,500.00) Check #
4888
O.00T
Work Performed
Total $11,050.00
Installer:
Date:
Time:
Completed by:
Page 2