HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t� a
Date: ` �� Permit Number:
RECEIVED
Building Permit Application NOV 2.0 2018
Planning and Development Services
Building and Code Regulation Division �T, l..ucfe County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
Address: 7703 Citrus Park Blvd., Fort Pierce, FL 34951 81LUds Cn-unty
Legal Description. LAKEWOOD PARK -UNIT 7- BLK 74 LOT15 (MAP 13102N) (OR 3453-594; 596; 3455-965; 3463-2795)
51
Property Tax ID #: 1301-607-0122-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Replace existing windows (5) with PGT 5500 series white vinyl single hun
windows'4 IA. 'sdwn6l5se ek sfiina�po ch PGT S®O series wh t n `v3We
5) & PGT 5555 series white vinyl impact door system.
Haamonai worK to De errormea u
OHVAC —Gas Tank
Electric 0-Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 16,750.00
r tnis permit — cnecK all apply:
[]Gas Piping In Shutters
Sprinklers []Generator
Sof First Floor:
In_
Utilities.. _ Sewer [] Septic
Lot No. 15
Block No. 74
ulated impact
Windows/Doors
Roof
Building Height:
O(NER/LESSEE'£y,
—
CONTRACTOR
£
i
o �� u. �:_ .i, a ,. .v.-
Name Joseph M Cubow & Betty L Cubow
Name: Daniel W Beard
Company: Vero Glass & Mirror
Address: 7703 Citrus Park Blvd.
Address: 1669 Old Dixie Hwy
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
City: Vero Beach State. FL
Phone No. 772-257-1641
Zip Code: 32960 Fax: 772-562-1474
E-Mail: icubow@aol.com
Phone No. 772-567-3123
Fill in fee simple Title Holder on next page
(if different
E-Mail: danb@veroglass.com
from the Owner listed above)
State or County License: SCC131151280
it value or consiruction is acDuu or more, a 1ILLUKutu Notice of commencement is required.
f'
EER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 firs Inspection. If you intend to obtain financing, consult with lender or an attorney before
commelfing/work or recording your Notice of Commencement.
'\� — — q - �J I LIALAQ s
VATEOF
ure of Owner/ Lessee/Agent Signature o Contractor/License Holder
FLORIDA STATE OF FLORIDA
COUNTY OF \ c, ,, COUNTY OF _ \ v, cV, c, v. '2',.p c
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of oc_20 Vaby thisj day of _ C4> c��-,o 20 by
Name of person acknowledging) (Name of person acknowledging)
re of(Nptary Public- State of Florida
Per�lly Known OR roduced Identification
Type of Identification Produced \fQ,C'-LA C ,
Commission No.` tQ 1QAo__5 (Seal)
Revised 07/15/2014
REVIEWS I FRONT ZONING
COUNTER REVIEW
(Signat re of Noary Public- State of Florida )
Personally Known K OR Produced Identification
Type of Identification Produced
Commission No
7.. : ••SKYLA
MY COMMISSION # FF240657
EXPIRES July 05.2019• .
SUPERVISOR I PU
REVIEW REV
DATE
COMPLETE
INITIALS
EXPIRES July '05.2019
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW