HomeMy WebLinkAboutBuiliding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0 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: 5303 W ECHO PINES CIR, FORT PIERCE, FL 34951
Legal Description: HOLIDAY PINES S/D-PHASE II-B- LOT 367 (MAP 13/12S)(OR 3622-120)
Property Tax ID #: 1312-801-0170-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace four (4) existing windows with PGT 5500 series white vinyl single hung style insulated impact windows.
❑HVAC Gas Tank
❑Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,950.00
erthispermit—checkall apply:
In
❑Gas Piping _ Shutters
Sprinklers ❑ Generator
S Ft. of First Floor: _
Utilities:n Sewer []Septic
Lot No.
Block No.
aWindows/Doors
❑ Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Norman & Sharon Abrams
Address:5303 W Echo Pines Circle
Name: Daniel W Beard
Company: Vero Glass & Mirror
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.772-252-9055
E-Mail: sharona831@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address: 1669 Old Dixie Hwy
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-562-1474
Phone No. 772-567-3123
E-Mail: danb@veroglass.com
State or County License: SCC131151280
11 value vi wnauucuon is ?zDuu or more, a KtLUKutu Notice of commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name: —
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
BONDING COMPANY: _Not Applicable
Name.
Address:
City:
City:
Zip: Phone:
Zip Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.
is inOconflict with any representation that
Assoclpermit
t on rules authorize
bylaws or the permit
that build
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 your Notir� of Commencement. A /
of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF �,,1
The forgoing instrument was acknowledged before me
this �� day of 1 20 Lby
Signature
STATE OF FLORIDA
COUNTY OF -� !The forgoing instrument was acknowledged before me
this day of �); \;1 Zp -)a- by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification 't,'/-
Type of Identification Produced !7
Commission No.
Brien Sartain
a My Commis ion ,(
Expires 01/30/2023
Revised 07/
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
of Florida > I Commission
Notary Public State of
r c My Commission GG Zw
df Expires 01/3012023
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