HomeMy WebLinkAboutBuilding Permit ApplictionSUPPLEMENTAL 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 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 vour Notice of Commencement.
— -'01/' -."k 'A��_641 1 __ 6i���,7 s
_ Signature of Contractor/Licens Holder
Signature of Owner/ Less /Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OF Martin
The forgoing instrument was acknowledged before me
this day of M 20 Eby
BRUCE M TYRRELL, JR.
(Name of person acknowledging )
ignature of Notar lic- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced .�
Commission No. #FF085476
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this _a day of 20 A_Tby
Bruce M Tyrrell, Jr.
(Name of person acknowledging )
(Signature of Notar ublic- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
PA'rRICIA A. KELVASA� #FF085476
ommission No.
EXPIRES: JAN 22, 2018
WKf TRICIA A. KELVASA
MMISSION #FF085476
EXPIRES: JAN 22, 2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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
PROPOSED IMPROVEMENT LOCATION:
Address: 1545 NW Buttonbush CIR Palm City, FL 34990
Legal Description: HARBOUR RIDGE -PLAT 13- BUTTONBUSH VILLAGE UNIT 26 (OR 3941-2954)
1545 NW BUTTONBUSH CIR
Property Tax ID #: 4426-815-0033-000-2 Lot No.
Site Plan Name: Block No.
Project Name: HARRISON
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE 1 WINDOW AND ONE DOOR
Addition aI worK to De ertormea unaer tnis permit — cneci< aii [In appiy:
aHVAC Gas Tank []Gas Piping _ Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 3,294.00 Utilities:cn Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William W Harrison Jr
Name: Bruce M Tyrrell, Jr
Address: 1545 NW Buttonbush CIR
Company: Kamrell Windows & Doors
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 757-270-6738
Address: 2441 SE Golfwood Drive
City: Stuart State: FL
Zip Code: 34996 Fax: 772-288-6208
Phone No. 772-288-6205
E -Mail: pati.kelvasa@kamrell.com
E -Mail: WWHARRISONJR@ME.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CGC061180 _
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.