HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �l' % �. i 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: 4655 S Indian River DR
Legal Description: 36 35 40 N 100 FT OF N 500 FT OFS 1087.4 FT OF GOUT LOT 2 LYG E OF FEC RR WITH RIP RTS (36) (OR 3998-527)
Property Tax ID #: 2436-331-0002-000-6
Site Plan Name: Wenzel
Project Name: Wenzel
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing windows ( l0)
jaltlonal worK to De ertormea under this permit— cinecK a
IHVAC Ei Gas Tank Gas Piping
11 Electric ❑ Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ $9,155.00
a
"Shutters
MGenerator
S Ft. of First Floor: _
Utilities:cnSewer 11 Septic
Lot No.
Block No.
QWindows/Doors
Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dale & Geraldine Wenzel
Name: Daniel W Beard
Address: 4655 S Indian River DR
City: Ft Pierce State:FL
Zip Code: 34982 Fax:
Phone No. 772-468-7891
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:dgwenz99@aft.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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 lend�r or an attorney before
commencing work or recording vour Notice of Commencement.
_ Signature of Owner/ Lessee/
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF�.d ca.Yl �2l i -V— COUNTY OFs f4�tLtq
The fo/r �oing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this 1,-A day of 20C;LLby this _. day of 20 01_L by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Flori a
Personally Known OR Produced Identification
Type of Identification Produced D l /( CP'tSf.
Commission No. % 1
Revised 07/15/2014
�,r*r Notary Public State of
Lauri L Stevens
Expires 04111/2025
( Ign ture cf Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
n No.
Public State of Florida
My Commission HH 116171
Expires 04/11/2025
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