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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