HomeMy WebLinkAboutBuilding Permit ApplicaitonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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F L O R I D R
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
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential x
Address: 7602 Bayard Road, Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK ADDITION NO 1- BLKA LOT 24 (OR 1212-884)
Property Tax ID #: 1302-810-0024-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 24
Block No.
Replace existing windows (9) with PGT 5500 series white vinyl single hung style insulated impact
windows.
Haaitionai worK to b wormed
under this permit - check
a app y: -^----
E_
Name: Daniel W Beard
HVAC L_I Gas Tank
❑Gas Piping
Shutters
Windows/Doors
11 Electric ❑ Plumbing
Sprinklers
❑ Generator
❑ Roof
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction: $ 6,425.00
Utilities:cnSewer ❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sharon E Brown
Name: Daniel W Beard
Address: 7602 Bayard Road
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.
Company: Vero Glass & Mirror
Address: 1669 Old Dixie Hwy
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-562-1474
Phone No. 772-567-3123
E -Mail:
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
il vaeuc ul �uliou uLuuli 1b .?c vv ur more, a Ktwrcutu ivouce or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applica
Name: _
Address:
City: _
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
Not Applicable
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Phone:
Not Applicable
e:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
St. Lucie County makes l ion anranting a ait will anpvtoidtjriwhch is nconflict wih any applicable Association rulesbylawsoradcoenanntss hat build
yresrt opoh 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 financin consult with lender or an attorney before
commencingwork or recordingour Notice of Commen me
5
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLOf�I - LL -CC i Z
COUNTY OF
STATE OF FLORIDA
COUNTY OF Tdia.\y iVci—
The forgo{'ng instr ment was acknowledgq before me The forgoing instrument was acknowledged before me
this l tlay of 20 I - --by this -L7 day of f-kpy-LJ_, 120 10� by
hCJ_Vl'nr' 1� �� wr-� D� 1 eas A
(Name of person acknowledging) (Name of person acknowledging )
q.5 .
(Signature of Notary Public- State of Florida) (Signature of Notary
y / OR Public- State of Florida
L )
Personally Known K OR Produced identification Personally Known Produced Identification
Type of Identification Produced a of Identification Produced
1,yY P BRIAN E. SIN L(IETON
Commission Nof,_i; 1O2�1'34 9 � MY COMMISSION w$son No. q 7 (Seal)
h EXPIRES: MAY 5.2021
BOOde.d fhm-h lo i. i—,.,..,,.. -....._ Notary Public State of Florida
_
Revised 07/15/2014 f i My Commission GG 296871
*o o�' Expires 0113012023
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