HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: "'A1 SCANNED Permit Number:
BY
Lucie County RECEIVED
Building Permit Application MAR 2 6 2018
Planning and Development Services
Building and Code Regulation Division [ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982-
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Window/door_C
PROPOSED JIVIPROVEMENT LOCATION:
Address: 4200 N A1A 116, FT. PIERCE, FL 34949
Legal Description: OCEAN HARBOR SOUTH BLDG B UNIT 116 AND UND INTEREST IN COMMON ELEMENTS (OR 1341-2655: 1351-2507: 1664-1262)
Property Tax ID #: 1423-501-0104-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Replace existing sliding glass door w/PGT 770 series bronze painted aluminum door system w/solar
control low-e insulated impact glass.
CONSTRUCTION 'INFORMATION:
Itlona wor to e e orme un ert Ispermlt—checka appy: ❑
❑HV/ F] Gas Tank ❑Gas Piping _ Shutters 7 Windows/Doors
Electric ❑ Plumbing []Sprinklers-❑ Generator ❑ Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 6,880.00
Sai —F�t. of First Floor: _
Utilities: Ft of
Building Height:
OWNER/LESSEE:
CO NTRACTOR-
Name Timothy McCarthy Juliaa B'Maiehza - — - -- -'Name:
Dani6rW BeaFd=- --_— -- _ --_ —_
Address: 1424 Patricia Street
Company: Vero Glass & Mirror
City: Kissjmee State: FL
Zip Code: 34744 Fax:
Phone No. 0 — c; — 870
Address: 1669 0ld Dixie Hwy
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-562-1474
Phone No. 772-567-3123
/OI
E-Mail: , _U fii c 7ry 0 PJFMethD, CPA{
Fill in fee simple Title Holder on n t 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, � RECORDEV Notice of Commencement is required.
SURPL•EMENTAL,CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 Counttyy 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 1 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 vour Notice of Commencement.
"Em:�
(�am'ZA - �.J s
_ Sigilatlureof a ess a/Agent
Signature of Contractor License Holder
STATE OF FLORIDA �] t/�
t COUNTY OF _Ln , r rl l
STATE OF FLORIDA
COUNTY OF Q]vPx-
The forming instr ment was acknowledged before me
this day of d 20 aby
The forgoing instrument was acknowledged before me
this day of V'9'K2pA n, AIA Jabyy
(�9 (�20�
i—i�Xl1�2 �� CJ i lF -C
(Na of pers ckno led ' g� .
( e of person acknowled � )
r of Notary Publyc-State of Florida )
(Signatu a of tary Publ c- ate of Florida )
Personally Know l// OR Produced Identification
ally Kn OR Produced Identification
Type of Identiftca i10-4Z, ,',Q�yced _
Type of Identification Produced
Commission No.
"- MYOOMMISS10 #FF132752
,�.+ "ea
-- —
Commission No.�,—�� (Seal)
IRES September 28, 2018
.407)398-0153 FloridallolaryService.com
Revised 07/15/2014 r: 8KYLA RUBE{_'.
MY COMMISSION # FF246857
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