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HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1/14/2020 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: 115 Queen Bess Court, Ft. Pierce, FL 34949 Legal Description: QUEENS COVE -UNIT 2- BLK 23 LOT C(OR 3541-637) Property Tax ID #: 1414-702-0021-000-2 Site Plan Name: Project Name: Fitzpatrick Setbacks Front Back: Right Side: Left Side: Lot No._ Block No. I DETAILED DESCRIPTION OF WORK: I Re -place e is-Ih) wthd©ws Ll(),shdfn Jassdoors(20 Aditional work to be ertormed under this permit — check all �HVAC Ei Gas Tank Gas Piping Electric ❑ Plumbing 11 Sprinklers apply: Shutters Q Windows/Doors Generator Roof _ Total Sq. Ft of Construction: Cost of Construction: $ _ oZ a� �J��• d a_ S Ft. of First Floor: _ Utilities:cnSewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Fitzpatrick, Thomas J. Name: Daniel W Beard Address: 115 Queen Bess Court Company: Vero Glass & Mirror City: Ft. Pierce State: FL Zip Code: 34949 Fax: Phone No. 609-442-7037 Address: 1669 Old Dixie Hwy City: Vero Beach State: FL Zip Code: 32960 Fax: 772-562-1474 Phone No. 772-567-3123 E-Mail: tomf@fbkcpa.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 It value of construction is �)ZWU or more, a KtcUKDtD Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applica Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: Citv: Zip: Phone: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: 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 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 commencine work or recordine vour Notice of Commencement. A _ Signature of Owner/ L-essee/Agent gnature se Ho STATE OF FLORIDA STATE OF FLORIDA ,f7 COUNTY OF �'at� �1y PT COUNTY OF TM �►;� 1`ci V 6— The forgoing instrumpnt was acknowledged before me this AQ day of 20 �by nri�S ;�Z (Name of person acknowledging) The forgoing instrument was acknowledged before me this _;Q day of _'�W1vo<T'r 20 by (Name of person acknowledging) (Signature of Notary Public- State of Flori ) _(Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification � Personally Known s L-OR Produced Identification Type of Identification Produced (�6' L,�cteLSe Type of Identification Produced Commission No. 02q0 O� I (Seal) Commission No. !657 (Seal) 6Pr np Nota Public State of Florida Ronde nen amain Brien Sartain Revised 07/ 15/2014 My Commission GG 296871 My Chmmission GG 296871 �'ta f Expires 01/30/2023 _4� Y.,M1d' Expires 01/30/2023 w_ _ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS