HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/01/2017 Permit Number:
Building Permit Applicat IVE®
Planning and Development Services
Building and Code Regulation Division NOV 13 2017
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 4624S78 Commercial did' - Vartment
PERMIT APPLICATION FOR: Window/door St.ucle County, FL
Address: 7301 Santa Barbara Drive, Fort Pierce, FL 34951
Legal Description: Lakewood Park - Unit 1 - Blk 4 Lot 14 (MAP 13/14N) (OR 3800-970)
Property Tax I D #: 1301-601-0045-000-9
Site Plan Name:
Project Name: Lakewood Park
Setbacks Front Back:
Right Side: Left Side:
Lot No.14
Block No. 4
Replace all exterior openings, excluding garage roll up door, with impact resistant, low-E glass
windows, doors, and sliders.
Additional work to bj rtormed under tnis permit— cnecK an apply:
OHVAC LJ Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric Plumbing FlSprinklers 1:1 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: / Sq. Ft. of First Floor:
Cost of Construction: $ G % Utilities:Sewer Septic Building Height:
•:f., .._,.._..�
,.,,.� ., ...;r�., .max.. J _, Viz.-�'>r,_ „�`- ;, tysz�. _.t ,,, .... r ...
.,,...-.
Name Joseph Miller
Name: Dave "Harley" Van Ginhoven
Company: D C Construction & Company, Inc.
Address: 7301 Santa Barbara Drive
City: Fort Pierce State: FL
Address• 1916 21 st Ave.
City: Vero Beach State: FL
Zip Code: 34951 Fax:
Phone No. (772) 971-2188
Zip Code: 32960 Fax: (772) 567-4237
E-Mail: jmwoodcarver@aol.com
Phone No. (772) 360-8571
E-Mail: harley@ibuildwithcare.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CGC1507644
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I
- �. y.
SUPPLEMENTALtCONSTRUCTION
Y 4 v _,✓r' F,�tr
L1EN`LA/1U1[iINFORMATlGN
cr
,-..-+.nC...
.. �.
?S tii: .. h
...._c.,.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Joseph Miller'
Name: Dave 'Harley" Van Ginhoven
Address: 7301 Santa Barbara Drive, Fort Pierce, FL 34951
Address: 7301 Santa Barbara Drive
City: Fort Pierce State:
City: Vero Beach State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 1916 21st Ave.
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
commencine work or recordine vour Notice of Commencement.
r
_
LI
g ure o Ow r/ Lessee/Contract r ' s Agent for Owner
Y n of Contractor/License Holder
S E O FLOj�jIDA r
V LUr`
SATE OF FLO "
`—�L �2
COU OF cS, • (,�
COUNTY OF -
The fo going inst u ent was acknowledged before me
The forgoing instrkment was acknowledged before me
c_day
thisrday of QQ P_ .bo 20 Q by
this ofMQQ@1a-_%Pr 20L by
r, - �` �� F�r`
cu �4 qa_�-v
Name of pers making statement
Name of person making statement V
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Ideritif ccatit 10 j L
( l
Produced
Produced
(Signature of - a e o Florida�OWEN
.•ar'P'� .,, SUSAN A.
(Signature - a e o orr a
Par y SUSAN A. BOWEN
Commission N .=2°r +���, otary Public(SS� a of Florida
* •= Commission # FT 231072
Commissio �_�' °*: Notary Public - Stll)lorida
=• , _
=".* #o` Commission # FF 231072
Expires Ju128 , 2019
%'"° 2019
st -:;;� FOFF�°p,• My Comm.
�F I My Comm. Expires Jul 28,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17