HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 111111ft SCANNED PermitNumber: Nm-md,
BY Reqjveo
St. Lucie County
'IEP 0 S 2018
Building Permit Application
Planning and Development Services
Building and Code Regulation Division cburty
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITAP PLII ATION FOR: Window/door
I 01100OStb. IM 't CATION`,,
Address: 3450 Twin Lakes Terrace, Apt 104, Fort Pierce, FL 34951
Legal Description: LAKESHORE VILLAGE OF MEADOWOOD PHASE I BLDG 3003 UNIT 104 (OR 2438-302)
3450 Twin Lakes Terrace, Apt 104
Property Tax ID#: 1327-704-0028-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: _ Right Side: - Left Side
!�ED,131�15CRIPTION OF WORK: -
Replace two (2) existing windows with PGT 5500 bronze exterior/ white interior vinyl horizontal style
in . sulated impact windows. Glass quoted as clear low-e XL 70 insulated impact. I
=,%RUCTIO WIN FORMATION:
nalworktobe ertormed Onder
this permit — Check
all ap`p`Fy—.
11HV/ n Gas Tank
0 Gas Piping
Shutters
Windows/Doors
11 Electric Ellumbing
[]Sprinklers
Generator
0 Roof
Total Sq. Ft of Construction:
S, Ft of First Floor:
Cost of Construction: $ 2,750.00
Utilities: Sewer E]Septic
Building Height:
'bWN,Ek/LES$fE:,,
CONTRACTOR:,',
Name Madeline L Brock & John B Brock
Name: Daniel W Beard
Address: 3450 Twin Lakes Terrace, Apt 104
Company: Vero Glass & Mirror
City: Fort Pierce State: FL
Zip Code: 34951 Fax:—
Phone No.
Address: 1669 Old Dixie Hwy
City: Vero Beach State: FL
Zip Code: 32960 Fax. 772-562-1474
Phone No. 772-567-3123
E-Mail:
Fill in fee simple Title Holderon nextpage (if different
from the Owner listed above)
: T_ A—. __ ---------- -
E-Mail: danb@veroglass.com
State or County License: SCC131151280
Name:
Address:
city: State:
Zip: --Phone:
FEE SIMPLE TITLE HOLDEP- —NotApplicable
Name:
Addreg.--�
City:
Zip: Phone -
MORTGAGE COMPANY.
Name: Not Applicable
Address;
City: .Slate:
Zip: Phon
BONDING COMPANY. —NotApplicma
Name:
Address:
City:
ZIP: — Phone -
I certify that no work or Installation has commenced prior to the Issuance of a permit
41.�L Mr
f .1d"Unis a Femul vrii au.Tonze thegermit holdego build the subject structure
Ich is in con Ict with ani a
structure. Please consult wAPPlIcab a Home Owners Assoc ation ru as, by aws or an covenants t at may, re
cffdct or prohibit such
rr
your Home Owners Association and review your deed for any restrictioi c may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects6 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-residentiall use
Im rovements to your fo
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice r
roperty. A Notice of Commencement must be recorded and posted on the Jobsite
before the first hospectfc n, If you Intend to obtain financing, consult with lender or an 3ttomey before
commencinLy work or rpreirdina un,,r ra�ti,� m:
X-
--atureofowne ee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ------- COUpMOF
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
ftsg2Lclayof 4"1A r7 20 &�6y thIs.QQ—Q day Of 2.0A'S-by
�30'Im"e 4
(Name Or person acknowledging I (Narne of Person acknowledging;
Type
Commission No. lrotdj a
ry. ublie blate of F1064a
Revised 07/15/2014
Personally Known Y� OR Produced Identification
Type of Identification Produced
EXPIRES July 05.20
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
PLANS
VEGETATION SEA TURnE
MANGROVE
-UA—TE
FEVIEW
REVI
REVIEW REVIEW
REVIEW
nil!
COMPLETE
INITIALS