HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO +MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (1 1253 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: 9610 KNOLLWOOD LN, FORT PIERCE, FL 34951
Legal Description: MONTE CARLO COUNTRY CLUB -UNIT THREE- LOT 47
Property Tax ID #: 1327-701-0017-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing windows (8) with PGT 5500 series white vinyl insulated impact windows.
Lot No. 47
Block No.
iditionalworKtoDe
11HVAC
11 Electric
nerrormea
unaertnispermit— cnecKall apply:
Gas Tank Gas Piping _ Shutters Q Windows/Doors
Plumbing Sprinklers Generator Roof
0
Total Sq. Ft of Construction:
Cost of Construction: $ 9,195.00
5 Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJohn & Marsha Nee
Address:9610 Knollwood Lane
City: Fort Pierce State:FL
Zip Code: 34951 Fax:
Phone No.814-932-7979
Name: Daniel W Beard
Company: Vero Glass & Mirror
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
E-Mail: event@nb.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ON
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:
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 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. I I
\'_2
_ Signa\ure of Own L
re of Co
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF rA;'� �-�,VC� COUNTY OF �i';e�-� �'ihey—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _Ij day of J`C� 20 Eby this 2� day of 20 r� by
M49�,-SVA i JCC_ \)D" ►br_-C_,-g
(Name of person acknowledging ) (Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced n . L ,
Commission No. Iqfo 07
Notary Public State of Florida
A PR My Commission GC
Revised 07/ 15/2014 ?4Oi l d` Expires o1130/20'L3
— 2:: r� /:<'� �
(Signature of Notary Public- State of Florida
i)
Personally Known - OR Produced Identification
Type of Identification Produced
mmission No
Notary Public State of Florida
N My Commission GG
?' Expires 01/30/2023
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