HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED —1
Date: Permit Number:
RECEIVED
IF 111'1
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Building Permit Application MAR 26 2018
Planning and Development Services ST. Lucie County, Permitting
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: g U , ��
PROPOSED IMPROVEMENT LOCATION:
Address: 1600 Cody Lane, Fort Pierce, FL 34945
Legal Description. COUNTRY LIVING ESTATES S/D BLK ALOT 12(1.72 AC) (OR 354-824: 376-2805)
Property Tax ID#: 2305-500-0012-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing windows with PGT 5500 series white vinyl single hung style insulated impact
windows. i ri
CONSTRUCTION INFORMATION:
Additional work to (epe orme under tispermit—checka appy:
HVAC f_J Gas Tank 0Gas Piping _Shutters a Windows/Doors
Electric 7 Plumbing Sprinklers Generator a Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 14,985.00 Utilities:Sewer 17 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Craig E Carter Denise Carter Name: Daniel W Beard
Address: 15901 Orange Ave Company: Vero Glass& Mirror
City: Fort Pierce State:FL Address: 1669 Old Dixie Hwy
Zip Code: 34945 Fax: City: Vero Beach State:FL
Phone No.772-216-5103 Zip Code: 32960 Fax: 772-562-1474
E-Mail:goofy30455@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
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 Count 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 our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF t����, Q-,vPc COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,�tC day of �Y�c �z .r 20 by thisz;;, day of O ,, 20 'I
_by
(Na f person acknowledging) (Name of person acknowledging)
(Signatur of Not Public-State of Florida) (Signatur of Nota ublic-State of Florida)
� Jj
ersonally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
CommissionNo.t_� {�dn`1' 1 (Seal) Commission No. �4��C`�-1 (Seal)
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Revised 07/15/2014 = MY COMMISSION q FF246657 :•� MY co�."miss �-6ia#H67
EXPIRES July 05.2019 ?i��IFific�u1y rjg 21t�
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REVIEWS FRONT ZONING SUPERVISOR PLANS VENATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS