HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB E 17LIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
9 .-
Date: 1 Permit Number:
Building Permit Application
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 Residential X
PERMIT APPLICATION FOR: Window/door
„P,R�POSED IMPRaUEMENT„LOCATIO;N
Address: 7408 Santa Rosa Pkwy, Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 4-BLK 39 LOT10 (MAP 13/11 N)
Property Tax ID#: 1301-604-0214-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
ETAILE00DESCRiPTI0N DF WORK`i'
i
Replace front windows w/PGT 5500 series white vinyl single hung impact windows. Units with clear
low-e XL70 insulated impact glass.
CdNSTRUCl"ION EiNFORMATtON' y k ”
Additional work tonGasTank
orme un ert is ermit—c ec a aHVAC ❑Gas Piping _Shutters z Windows/Doors
11 Electric 0 Plumbing Sprinklers 0 Generator 0 Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 1,830.00 Utilities: _Sewer Septic Building Height:
OWNERJLESSEE , C
�- .3;� ONTRACTOR P
Name Robert&Vivian Brown Name: Daniel W Beard
Address:7408 Santa Rosa Pkwy Company: Vero Glass& Mirror
City: Fort Pierce State:FIL Address: 1669 Old Dixie Hwy
Zip Code: 34951 Fax: City: Vero Beach State:FL
Phone No.772-464-3827 Zip Code: 32960 Fax: 772-562-1474
E-Mail:bobviv56@yahoo.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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is require` .
SPPLEMEN,, AL CONSTIU,CTION'LIEN LAW 1NF,ORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
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 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
commencing work or recording our Notice of Commencement.
— 6��' (r1- "0__ s
_Signature of Owner/Lessee/Agent Sign ure of Contractor/License Holder
STATE OF FLORIDA //�� STATE OF FLORIDA
COUNTY OF 2v_gj w n 1IG.i044'e— COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 day of 3-eky-N 20 i1by this�day of TY�-t/1 .20 L by
(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 r_ 0 u ed Identification
Type of Identification Produced _ Type of Identification Prod
KIMBERLY BENNING
' KIMBERLY DENNINGtar Public•State of FloridCommission No. -, II11 Co 'mission No. I— , ��i:slop N FF 214957
b (�aty Public-State of FI Ida
'« »•' Commission A FF 214957 °•• My Comm.Explrez Jul 23,201
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REVIEWS FRONT -ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS