HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and DevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION;
Address:
Property Tax ID #:
Site Plan Name:
Project Name: _
DETAILED DESCRIPTION OF WORT<;
CONSTRUCTION INFORMATION:
Permit Number:
Building Permit Application
Commercial
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
Gas Tank
_Plumbing
Total Sq, Ft of Construction:
Cost of Construction: $ —
OWNER/LESSEE:
Name_ IXf2. ./`(' 't�l
k
•(.L� 1;: •�
Address: t� y0
City: /` iC�
Zip Code: Fax:
Phone No, O -
E-Mail: / �l &,4 h
Gas Piping
Sprinklers
_Shutters
_ Generator
Sq.First Floor;
Residential
Lot No._
Block No,
V Windows/Doors
Roof
Utilities: Building Height:
_Sewer _Septic
CONTRACTOR:
Name: Ray Reinhard
Company:HBS, Inc.
State: �(. Address; 722 3rd Place
City: Vero Beach
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Zip Code: 32962
Phone No772-567-7461
E-Mailtammyc@hbsglass.com
Pitch
State; FL
Fax: 772-778-3514
State or County LicenseSCC131151281
--•-- -•-�••�•• � •wl• 1,,.��,.� wi "Jul _, a nL.,URUE:LJ ,vouce or f HVAC is $7
commencement is required.
If value o,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made
to obtain a permit to do the work and installation as indicated.
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
which is in conflict with any applicable Home Owners Association
will authorize the permit holder to build the subject structure
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 JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT MMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Sige of Contr ctor/License Holder
STATE OF FLO
STATE OF FLORIDA
^�
COUNTY OF 'Y^ j� it/ er
COUNTY OFIndianRlver
The fo going instru nt wa nowledge t� fore me
this
The fo oing instrum nt wa ac <nowledg fore me
ay of 266
this day of zoo y
41
JJJ
ent.
Name of person m=OR
Name of pers n making st�at ment.
Personally KnownProduced Identification
Personally Known OR Produced Identification
Type of Ide tification
Type of Identifi ation
Produced
Produced
S
(Signature of Notary P b ic- S� F4„o '
�
gnature of Notary b - S bill o Florida )
_ oY Notary Public State of Florida
Commission No. tift j?/ C English
C mission N s �' Notary Public Stain&�)ida
4 a o My Commission GG 906967
o� Expires 011'Z'1L022
a p� ammy C English
My Commission GG 906987
o°
lei rL
REVIEWS FRONT ZONING SUPERVISOR
PLANS VET I�`I L ROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 211119
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4728759 OR BOOK 4445 PAGE 1163, Recorded 07/14/2020 09:01:49 AM
Permit No•
State of Florida, County of St. Lucie
NOTICE OF COIVIMENCEMENT
Property Tax ID No.1, u I - W I LLUI 73 . (,(/VJ
The Undersigned hereby gives notice that improvement will be made to Certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information's provided in this Notice of Commencement,
Interest in property: �
Fee Simple Title holder (if other than owner)
Address
Contractor HBS, Inc.
Address 722 3rd Place
Surety
Address
Amount of Bond
Lender
Address
Pirate # 772-567-7461
Fax # 772-778-3514
Phone #
Fax #
Phone #
Fax #
Pet•sons tvititiu the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7,) Fl011 a Statues:
Name Plione #
Address
In addition to himself, owner designates
Phone #
Fax #
Fax #
of
to receive a cop}� of the Lienor's Notice as provided in Section 713,13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified, WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ANOTICE OF
COMMENCEMENT MUSTBE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT. {
State of Flm•ida, County of
Icn
Title: Notat•y Public
�Owner/Lessee, or Owner's or Lessee's Autltm•ized OlCcer/Director/Partner/i\tanager/ Signatw•e
Signatmy's Title/Office
�,�, y k
day of 20 by NGI.�i`i!/! � lxu,
or who has roduced as identification,
�m �s`
Type or Print➢ ame of o ary (Seal)
Commission Number
O�gY 064(k.
Notary Public State of Florida
? f• Tammy C English
My Cornmission GG 90C,9t37
�� r�o Expires 01/23r2022
4
IMPACT WINDOWS & DOORS
722 3RD PLACE
VERO BEACH, FL 32962
PHONE: (772) 567-7461
FAX: (772) 778-3514
#SCC131151281
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PHONE: (772) 567-7461
FAX: (772) 778-3514
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QUOTATION #
Date: June 26, 2020
Revised:
Phone: 4073t2-8061
Fax:
21077CSBJS
Bill to: Warren Rifenbark
Email: Rifenbar1c02@comcast.net
6904 Deland Avenue
Ft. Pierce, FL. 34951
722 3rd Place
Vero Beach, FL 32962
Tel.: (772) 567-7461
Fax: (772) 778-3514
State License #: SCC131151281
I O N
Page 1 of 2
Ship to: Warren Rifenbark
6904 Deland Avenue
Ft. Pierce, FL. 34951
Year Built: 1987
WINDOWS
Remove existing windows and discard. Replace with PGT 5510 series hurricane impact windows. White vinyl
multi chambered frames. 7/8" Solar Ban 70XL Low-E insulated impact glass. Dual sweep locks, comfort lift handles
and standard 18/16 screens.
QTY DESCRIPTION
2 HI2 72" x 48" 1/1 XO/OX
1 HR 96" x 48" 1/1 XOX
Total Installed $ 3,908.00
Price above includes applicable taxes
SLIDING GLASS DOOR
Remove existing sliding glass door and discard. Replace with PGT 770 series hurricane impact resistant
sliding glass doors. White powder coated aluminum frames. 1" Solar Ban 70XI Low-E insulated impact glass.
Stainless teal tandem rollers and mortised lock. 2 '/a" sill riser. Raised white interior and exterior• handle sets.
Standard 18/16 screen.
QTY DESCRIPTION
1 SGD 713/4" x 801/2" OX
Total Installed $ 3,332.00
Price above includes applicable taxes
CONTRACT PRICE DOES NOT INCLUDE BUILDING PERMIT FEES:
PERNIIT FEES, IF REQUIItED, WILL BE INVOICED AS AN EXTRA CHARGE.
THIS QUOTATION IS
VALID FOR 30 DAYS.
A 50% DEPOSIT IS REQUIRED
TO ORDER MATERIAL
AND ISNON-REFUNDABLE.
FINAL INVOICE
UPON COMPLETION
OF INSTALLATION.
NET 30 DAYS, LS% INTEREST
PER MONTH (18%PER
YEAR)
CHARGED AFTER 30
DAYS.
WARRANTY: HBS, INC. PROVIDES A ON'E YEAR WARRANTY ON PRODUCT AND LABOR. CERTAIN MANUFACTURERS MAY PROVIDE AN
EXTENDED WARRANTY ON PRODUCT ONLY.
NOTE I: IF HBS, INC. DOES NOT INSTALL THIS PRODUCT, HBS, INC. IS NOT LIABLE FOR FINAL ADJUSTMENT OF HARDWARE, LEAKAGE
OR OPERATION UNLESS CAUSED BY OBVIOUS MANUFACTURER DEFECT.
NOTE II: IF INSTALLATION BY HBS, INC. IS SELECTED, THE WINDOW AND DOOR OPENINGS MUST BE CORRECTLY SIZED AND PREPARED
BY THE GENERAL CONTRACTOR.
NOTE III: IMPACT GLAZING (LAMINATED GLASS) MAY HAVE VISIBLE DISTORTION. LARGER UNIT SIZES MAY REQUIRE HEAT TREATED
GLASS WHICH IS MORE LIKLEY TO HAVE VISIBLE DISTORTION. VISIBLE DISTORTION IS A CHARACTERISTIC OF LAMINATED AND HEAT
TREATED GLASS AND IS NOT CONSIDERED AS A DEFECT AND IS ALLOWABLE PER ASTM STANDARDS.
Customer Initial 1.
PLEASE NOTE: ABSOLUTELY NO RETURNS ON ORDERED MATERIAL
N:\QUOTES\2020\21077CSBJS.DOCX PAGE 1 OF 2 6/26/2020
722 3rd Place
Vero Beach, FL 32962
Tel.: (772) 567-7461
Fax: (772) 778-3514
State License #: SCC131151281
QUOTATION # 21077CSBJS Page 2 of 2
NOTE IV: IF THIS QUOTATION IS FOR REPLACEMENT WINDOWS OR DOORS, EXTERIOR/IlVTERIOR FINISH PAINTING OR TOUCHUP
PAINTING IS NOT PROVIDED FOR IN THIS QUOTATION
NOTE V: IF THIS PROJECT BUILDING WAS BUILT BEFORE 1/1/1978 TT MAY CONTAIN LEAD PAINT. IF THE EXISTANCE OF LEAD PAINT IS
CONFIRMED, HBS, INC. RESERVES THE RIGHT TO CANCEL THLS QUOTE/CONTRACT.
NOTE VI: FRAMELESS SHOWER ENCLOSURES MAY NOT BE COMPLETELY WATER TIGHT.
NOTE VH: ANY REQUIItEMENTS FOR "ADDTTIONAL INSURED" AND/OR "WAVIER OF SUBROGATION" COVERAGE MAY RESULT IN AN
INCREASED CONTRACT PRICE FOR THE COST OF THAT COVERAGE.
NOTE VHI: IF FOR ANY REASON AN INSTALLATION CAN NOT BE COMPLETED DUE TO MANUFACTURE DEFECT OR A NEED FOR PERMIT
REINSPECTION, CUSTOMER MAY WTTHOLD 5%FROM FINAL INVOICE UNTIL COMPLETION OF INSTALLATION/INSPECTION.
NOTE Dt: IF INTERIOR FLOORS NEED TO BE CUT FOR INSTALLATION OF DOORS, HBS, INC. IS NOT RESONSIBLE FOR TILE REPAIIi.
OWNER MAY PROVIDE A PRIVATE VENDOR TO CUT TILE AT OWNERS EXPENSE.
NOTE X: I HAVE READ AND UNDERSTAND ALL PRODUCT SPECIFICATIONS, SIZES, QUANTITIES AND DESCRII'TIONS AND ACCEPT ALL
PRODUCTS AND OPTIONS AS LISTED i�l TLESS OTHERWISE INDICATED, AS VERFIED BY MY SIGNATURE BELOW.
SUBMITTED
19 ti
CCEPTED Wes,
Chris Sartain �� ,, ``
Customer Initial "�1
PLEASE NOTE: ABSOLUTELY NO RETURNS ON ORDERED MATERIAL
N:\QUOTES\2020\21077CSBJS.DOCX PAGE 2 OF 2 6/26/2020