HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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: Wi
Commercial Residential X
PROPOSED IMPROVEMENT LOCATION: i
Address: 7602 BAYARD ROAD, FORT PIERCE,JFL 34951
Legal Description: LAKEWOOD PARK ADD
Property Tax ID #: 1302-810-0024-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
NO 1- BLKA LOT 24 (OR 1212-884)
Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing sliding glass door (1) with WinDoor 7000 series white painted aluminum impact door system.
Lot No. 24
Block No.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Sharon E Brown
Name: Daniel W Beard
Additional work to be nertormed under
tis permit —check
i
a app y:
Address: 1669 Old Dixie Hwy
HVAC _Gas Tank
Gas Piping
_Shutters
Q Windows/Doors
Electric Plumbing
�Spri 'klers
Generator
❑_ Roof
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 3,470.00
! Utilities: _ Sewer FI Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sharon E Brown
Name: Daniel W Beard
Address:7602 Bayard Road
Company: Vero Glass E Mirror
City: Fort Pierce StateFL
Zip Code: 34951 Fax:
Phone No. 772-532-0018
Address: 1669 Old Dixie Hwy
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-562-1474
Phone No. 772-567-3123
E-Mail:sharoneb1@yahoo.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
--•-- •������ �...��� , ���....��UU Hlvubtl U1 I-uminencemenr is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State':
Zip: Phone:
I
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City: I
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, sighs, 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 Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTYOF
The forgoing instrument was acknowledged before me
this day of _ 20 _by
(Name of person
nse Holder
STATE OF FLORIDA
COUNTY OF�'t
The forgoing instrument was acknowledged before me
this IKdayof /l�if't% 20 - by
(Name of person acknowledging )
(Signature of Notary Publi of Florida) (Signature -of Notary Public -State of Florida )
Personally Known OR Produced Identification Personally Known L/ Oc-R Produced Identification
Type of Identification Pro uc Type of Identification Produced
O�py.T PpBG BRIAN E. SINGLETON 4
Commission No. _ ^t MYCOrtgION#GG108g84 Commission No. i ✓+� J 1/ Seal
S W� EXPIRES: MAY 25, 2021 i was+`
Bonded through 1st State Insurance SAY "� Notary Public State of Florida
d rien a am
Revised 07/15/2014 a : , My Commission GG 296871
OP Expires 01/30/2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
FPM VERO GLA55
MM
& MIPFOp,
1669 Old Dixie Highway, Vero Beach, FL 32960
(P) 772-567-3123 / (F) 772-562-1474
www.veroglass.com
Lic #'s SCC131151280 / SCC131151782
Sales Order
Date S.O. No.
4/21/2020 12279
Name/Address
Job Address
Gate Code
Sharon Brown
7602 Bayard Road
Lakewood Park N
7602 Bayard Road
Ft. Pierce, FL 34951
Ft. Pierce, FL 34951
Customer Phone #
Salesperson
Job Contact
Job Contact #
Job Folder
772-532-0018
Dan
Sharon
772-532-0018
N
Warranty: N
Billable Labor Warranty: N
I Extra to Contract: N
Item
Description
Location
Qty
Rate
Amount
Replace PGT 5...
Replace existing sliding glass doors
O.00T
with Win Door 7000 series white
painted aluminum impact door
system. Glass quoted as clear
laminated impact. All units quoted
with stainless upgrades, standard
white hardware and no screen.
Window/Door...
711/2" X 79 1/2" XX
1
0.00
0.00
Window/Door...
Installed
3,470.00
3,470.00
Permit/Eng. F...
Contract price does not include
O.00T
building permit fees or engineering
fees. Permit fees and/or engineering
fees, if required, will be invoiced as an
extra charge.
Paid Deposit 4/21/20 ($1,800.00) Vlsa
Sales Tax
7.00%
0.00
Materials Received
Total $3,470.00