HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ( J-25d IQ 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: IUUU LYNX DRIVE, FORT PIERCE, FL 34949
Legal Description: RIVERPOINTE AT THE SANDS PHASE II (PB 43-16) LOT 37 (OR 3486-2016)
Property Tax ID #: 1425-620-0030-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing windows (4) with PGT 5500 series white vinyl single hung style insulated impact windows.
Lot No. 37
Block No.
icimonai worK to bffGas
11HVAC
11 Electric
rrormed under this permit —check a
Tank ❑Gas Piping 11 _
Plumbing Sprinklers M
apply:
Shutters a Windows/Doors
Generator ❑ Roof
0
Total Sq. Ft of Construction:
Cost of Construction: $ 3,760.00
S Ft. of First Floor: _
UtilitiesInSewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSherrill Martin
Name: Daniel w Beard
Address:1900 Lynx Drive
Company: Vero Glass & Mirror
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 772-801-5107
Address: 1669 Old Dixie Hwy
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-562-1474
Phone No. 772-567-3123
E-Mail:efm19@att.net
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
VQ UC UbUVII lb ,?c,,w OF mere, a ntwnutu ivoiice oT commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name:
State:
Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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, 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 Notice of Commencement.
5
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF 'T," COUNTY OF __&\�licv� (� ,ycU—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this M day of v �5i- 20 2p by this lQ day of oCuSr 2020 by
(Name of person acknowledging) (Name Of acknowledging)
i
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced
Identification
Personally Known OR Produced
Identification
Type of Identification Produced
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Type of Identification Produced
Commission No. Cis �
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Commission No. Jl�(�� 71
(Seal)
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Notary Public State of Florida
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