HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- J
t ..
3
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: 15 Sovereign Way, Hutchinson Island, FL 34949
Legal Description.. QUEENS COVE -UNIT 2- BLK 24 LOT A (OR 1420-2105: 2774-1744)
Property Tax ID #: 1414-702-0027-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. A
Block No. 24
Replace existing windows w/ PGT 5540 series white vinyl insulated impact casement windows.
Tan onal worK to be nertormed under this permit — check all
1HVAC u Gas Tank Gas Piping
11 Electric ❑ Plumbing Sprinklers
h
apply:
Shutters Z Windows/Doors
Generator 0 Roof
_
I
Total Sq. Ft of Construction:
Cost of Construction: $ 5,275.00
S Ft. of First Floor: _
Utilities:sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wayne F Burd & Nelly S Burd
Name: Daniel W Beard
Address: 15 Sovereign Way
Company: Vero Glass & Mirror
City: Hutchinson Island State: FL
Zip Code: 34949 Fax:
Phone No. 772-460-1085
Address: 1669 Old Dixie Hwy
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-562-1474
Phone No. 772-567-3123
E-Mail: NIA
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
IT value oT construction is :�ZWU or more, a KECURDED 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. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
_ Signature of O(vner/ Lessee/Agent
9(;`Jtj' 6.0'r'D S
Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF ���°,C�J'\ �Z;y''COUNTY OFF",, ,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this T day of J i 20 by this day of 'T 20 1 "k by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced (!_eA9z Type of Identification Produced
Commission No.' , aq,;��671 (Seal)
Commission No.—'..'Ac2L�
(Seal)
4)0 Notary Public State of Porida < -V'W'e—w w
nenSartain
Revised 07/ 1 S/2014 11,
My Commission GG 296871 =° Brien Sartain
p Expires 01/30/2023 �i� My Commission GG 296871
—.►----- Expires 01/30/2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS