HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date*7-ttt412U20 a',\ Permit Number:
RECEIVED
Building Permit Application FEB 19 "020
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
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 4200 N HIGHWAY A1A 516, Ft. Pierce, FL 34949
ST. Lucle County, Permitting
Residential x
Legal Description: OCEAN HARBOR SOUTH BLDG B UNIT 516 AND UND INTEREST IN COMMON ELEMENTS (OR 1311-993)
Property Tax ID #: 1423-501-0136-000-2
Site Plan Name: Scorese
Project Name:
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing sliding glass doors.vok
9r7ot/ S�
tMpa i''ale�
Lot No.
Block No.
CONSTRUCTION INFORMATION:
A00itionalWomt0
e e orme under tIspermit—c ec a apply:
❑HVAC fl Gas Tank ❑Gas Piping _ Shutters Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers 1:1 Generator I l Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 7,240.00 Utilities: Sewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Betty Scorese
Name: Daniel W Beard
Address:4200 N. A1A, #516
Company: Vero Glass & Mirror
City: Ft. Pierce State: FIL
Zip Code: 34949 Fax:
Phone No. 772-579-9797
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL-00NSTRL1CTl0N LIEN LAW INFORMATION: 1 1
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:
Address:
City:
Zip:
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 con, 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 vour Notice of Commencement. A
f� o. .�J2�
_ Signaturekf Owner/ Lessee/Agent
STATE OF FLORIDAr1{'- ,�
COUNTYOF NLu� 1��r V'IJ
The forgoing instrument was acknowledged before me
this X? day of ScwvN b 20 Eby
(Name of person acknowledging )
fie} t-"e '5 c" \mse_
(Signature of Notary Public -State of Florida )
Personally Known OR Pro�uced Identification I/
Type of Identification Produced C U'_f, %Cse-
Commission No. Y I (Seal)
STATE OF FLORIDA
COUNTY OF _, JV.n 9, we
The forgoing instrument was acknowledged before me
thispZLdayof 20 9 by
be�'n Be_"ra-
(Name of person acknowledging )
(Signature of Notary Public- State of Florida j
Personally Known V1�011 Produced Identification
Type of Identification Produced
No. A r / (Seal)
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nam II
Revised 07/15/2014 �[ + My Commission GMy Comm ssion
�"j9� Expires 0113012023 '�' Expires O7/3012023
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