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All 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 Commercial __________ Residential ___________
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: __________________________________________________________________________________________
Property Tax ID #: _________________________________________________________________ Lot No.__________
Site Plan Name: __________________________________________________________________ Block No. _______
Project Name: ______________________________________________________________________________________
DETAILED DESCRIPTION OF WORK:
New Electrical Meter __________ Second Electrical Meter_______________
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
__Mechanical __ Gas Tank __ Gas Piping __ Shutters ___ Windows/Doors ___ Pond
__ Electric __ Plumbing __ Sprinklers __ Generator ___ Roof __________ Pitch
Total Sq. Ft of Construction: ___________________ Sq. Ft. of First Floor: _________________________
Cost of Construction: $ _____________________ Utilities: __ Sewer __ Septic Building Height: __________
OWNER/LESSEE: CONTRACTOR:
Name__________________________________________
Address:________________________________________
City: _________________________________ State: ___
Zip Code: ______________ Fax:____________________
Phone No.______________________________________
E-Mail:________________________________________
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:_________________________________________
Company:_______________________________________
Address:________________________________________
City: ______________________________ State:____
Zip Code: ________________ Fax: __________________
Phone No_______________________________________
E-Mail__________________________________________
State or County License____________________________
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
09/18/20
X
Window / Door Replacement
11000 S Ocean DR Apt 6-FJensen Beach, FL 34957
4512-701-0090-000-3
VILLA DEL SOL
MILLER RESIDENCE
REMOVE AND REPLACE (3) IMPACT PGT SINGLE HUNG (SH 5500), (1) PGT PICTURE WINDOW (PW 5520) AND
(2) PGT SLIDING GLASS DOORS (SGD 5570)
19,400
Raymond Miller , David Miller Mathew Gilmour
11000 S. Ocean Dr. #6F Gilmour Window & Door LLC
Jensen Beach, FL 1371 SE Vestridge Ln
34957 Port St Lucie FL
34952
raydmillerfl@gmail.com 772-209-8481
mathewgilmour1@gmail.com
30514
St Lucie St Lucie
x x
18 18September September
Mathew Gilmour Mathew Gilmour
X X
Gg234007 Gg234007
Project Name:
1371 SE Vestridge Ln
.
Port St. Lucie, FL 34952
(772) 209-8481
Gilmour Window & Door.Gilmour Window & Door.
.
mathewgilmour1@gmail.com
Scale: N.T.S.St Lucie County License No.: 30514
OFOF
111
111
FIRST FLOOR SECOND FLOOR
Unit# 6F Unit# 6F
Existing Front
Entry Door
#1
PGT SGD 5570
141 3/4” X 79 3/4”
PGT SGD 5570
141 3/4” X 79 3/4”
#2
PGT SH 5500
25 1/4” X 37”
PGT SH 5500
35 7/8” X 24 3/4”
PGT SH 5500
24 1/2” X 24 1/2”
#3
#4a #4b #5
PGT PW 5520
52 5/8” X 24 3/4”
Miller Residence
11000 S. Ocean Dr #6F
Jensen Beach, FL 34957