HomeMy WebLinkAboutBuilding Permit Application ALL APPLI�CABJt INFO UST BE:COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: +l Permit Number:
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Building Permit Application
Planning and Development Services
Building.and Code Regulation Div/sion
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (77.2)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbok, click arrow at the end of line
tPRQPOSED�IMP,R0�1/EMENT_LQCA�T[ON, ,. .,. ln F
Address: 113 Queen Bess Court, Ft Pierce;FL 34949
Legal Description: Queens Cove-Unit 2-BLK 23 Lot D(or 3846-1819)
Property Tax 11)#: 1414-702-0022-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: ,Right Side: Leftside:
-
DETAfLED DESCRIPTION OF 1NORK1
Replacement of Windows:and doors
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CONS�TRUC N INF®RIVIATIONS, `
itiona war to e e orme under tis permit—ch,cl all appy:
1jHVAC Gas Tank ❑Gas PipingShutters Q Windows/Doors
_
11
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: �1 S . Ft.of First Floor:
Cost of Construction: 10 Utilities.. Sewer F]Septic Building Height:
01NENER/LESSEE CONTRACTOR
......�,: .. :
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Name Ie e-Wyenandt '2 o. e: Daniel W Beard
Address:113 Queen Be—ss—Court—j Company: Vero Glass&Mirror
City. Ft Pierce, FL State:FL Address: 1669 Old Dixie Hwy.
Zip Code; 34949 Fax: City: Vero Beach State:FL
Phone No.757-784-1544 Zip Code: 32960 Fax: 772-562.-1:474
E-Mail: 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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION€LEEN LAW INFORMATION;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _NotApplicable
Name: Name:
Address: Address:
City: State: City: State:
Zip.:' Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: 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 County makes no representation that is granting a permit will authorize the permit holder to build the su bject.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 l 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 our Notice of Comm enceme t
s
_Signature of Owner a see%Agent Signature of Contractor/License Holder
STATE OF FLORIDA n STATE OF FLO A n
COUNTY OF Y9'SL O!.9 COUNTY OF ' /10./191_� jLAe_ff2_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
11A.this/ day of. %HA2/L 20 Eby this Z�dayof /^r 20 ,Z�by
Colleen S. Cullen �1�kg Ce_( �(
(Name of rson ackno a dging) (Name of person acknowledging)
(Si re of Nota6 Public- ate o; ,tgd R r�/f (Signature of Notary Public-State of Florida)
Personally Known OR POd6 eci�+ i ia�ifj a _ Personally Known OR Produced Identification
Type of Identification Producer9 1 gat"?a2-,oi: Type of Identification Produced
Commission No. PF OZ`f ��o (�ay� .*e Commission No. rF.2 � (Seal)
;FF 902726 oQ`
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Revised 07/15/2014 STA ����°� >$ C_110 SF10110 FF 211141111157
8.2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI "moma �,
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS