HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6 SCANNED Permit Num
BY
Q' St. Lucie County
Building Permit Applic
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 x
FEB 2 7 2019
Permitting Department
St. Lucie County, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: 9430 MEADOWOOD DR 101
Legal Description: QUAIL RUN VILLAGE BLDG 1 UNIT 101 (OR 411
Property Tax ID #: 1327-703-0001-000-2
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Replace existing windows (2) with PGT 5500 series bronze exteior / white interior vinyl single hung
style insulated impact windows.
0HVAC Li Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,150.00
Piping
Sprinklers
Shutters
Generator
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
aWindows/Doors
E]Roof
Building Height:
Name William L Gebhardt & Susan L Gebhardt
Name' Daniel W Beard
Address:947 Shetland Drive
Company: Vero Glass & Mirror
City: Frankfort State: IL
Zip Code: 60423 Fax:
Phone No.815-482-7950
Address: 1669 Old Dixie Hwy _
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-562-1474
Phone No. 772-567-3123
E-Mail: bgebhardt47@gmail.com
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: SCC131161280
n vame or construction is �Lbuu or more, a nrcunueu Notice or commencement is required.
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SU'PPC,�CV(�N�'A� �ONS'C•RUCtII?fV tC1=N LA1N'tCVF{3F�M�TICIN
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MORTGAGE COMPANY:
Name:
` b �' sa
Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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 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
commencingwork or recordin our Notice of Commencement.
O'Qz�.� — s
gnature of Owner/ Lessee/Agent Signature of Contractor/License Holder
S ATE OF FLORIDA, STATE OF FLORIDA
COUNTY OF 51 , L.vc:e- S vrot`y COUNTY OF lry _;a.) VC)_
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of Fe bP.2UN . 20 jkby this day of JC,, ray , 20 ly- by
W t lkt AYA�_ G:e 0'.rdk � 6e A
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public -State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known �OR Produced Identification
Type of Identification Produced OC ��S ; GGr15L Type of Identification Produced
Commission No. ionNo. _ (Seal)
F.7a
llotary Public State of lorioa
-Brien Sartain
wa Expires 6V30/2023 4eJ ien Sartain
Revised 07/15/2014 ci ; Commission GG 996671
Expires 0113012023
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