HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOF 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 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 7408 SANTA ROSA PKWY, FORT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 4- BLK 39 LOT10 (MAP 13/11 N)
Property Tax ID tt: 1301-604-0214-000-4
10
Lot No.
Site Plan Name: Block No. 39
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing windows %$)with PGT 5500 series white vinyl single hung style insulated impact windows.
CONSTRUCTION INFORMATION:
ACIclitional work to(ee Orme un er t is permit — c ec a app y:
HVAC L_I Gas Tank ❑Gas Piping _Shutters ✓� Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator ❑
Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 5,720.00 Utilities: HSewer Septic Building Height:
OWNER/LESSEE: _
CONTRACTOR:
Name Robert & Vivian Brown
Name: Daniel W Beard
Address:7408 Santa Rosa Pkwy
Company: Vero Glass & Mirror
p
City: Fort Pierce State�IFL
Address: 1669 Old Dixie Hwy
Zip Code: 34951 Fax:
City: Vero Beach State: FL
Phone No. 772-464-3827
Zip Code: 32960 Fax: 772-562-1474
Phone No. 772-567-3123
E -Mail: bobviv56@yahoo.com
Fill in fee simple Title Holder on next page ( if different
E -Mail: danb@veroglass.com
from the Owner listed above)
State or County License: SCC131151280
If value of construction is $2500 or more; a RECORDED Notice of Commencement is required.
A
h
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
NEER: _ Not Applica
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:
State
— Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
to te:
_Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
which is inoconflictctawith any applicable Home Owners Assoclationlru esaby aws or and covenalnts that may, estrict 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 our Notice Of Commence
__t5
_Signature of Owner/ Lessee/Agent
Signature of Contractor/License Holder
STATE OF FLOF
�
STATE OF FLORIDA
COUNTY OF_ t u A - -Q..
COUNTY OF__J �;y �I—
The for ing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of MC 20xO by
this -L!L day of M ot,Y 20 2C-1 by
f I Q J'1 5� i hr. L Ky\
\11\ f D61 "JC
(Name of person acknowledg' g)
(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 Prc
Type of Identification Produced
4Y �VB
Commission No. C=°' t My CO#GG108484
Commission No. a�(r
EXP j AY 25, 2021
Bonded through ISt State Insurance
a
u�� Notary Public tate of Florida
=oaPa
Brien Sartain
�. •.. o RIISSI6�'ti �QRF7'I
OF Expires 01/30/2023
Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS