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HomeMy WebLinkAboutBuilding Permit Application j 1 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 12/14/18 [KIS— b31 Date: _ Permit Number: COUNITY 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 ItMJ ROVEM ENT LOCAflo .. , b, :z ., ,; f ;., , Address: 9415.5.00EAN DR#12 Jensen Beach,FL 34975 35 30 VILCACE PHASE II DWG 4UNIT 12)FROM INTWRANAIAAND S.1.I55C RUM S BS ORS3?MIN 2P SEC SU 663 J6 PT,TNN�l DEG 22 MIN 31 WC 655830'ToptD,TN3 Legal Description: 88 DEG 37 MIN 29 SEC W 55,7 FT;TH NO1 DEG 22 MIN 31 SEC W.16.35 FT,TH N 88 DEG 37 MIN 29 SEC E 55.7 FT,TH 5 01 DEG 22 MIN 31 SEC E 10.35 FT TQ FOB(OR 3133 57) Property Tax ID#: 3535=333:0001-34.0-7 Lot No. Site Plan Name: Block No. Project Name: WILSON Setbacks Front Back: Right Side .Left Side 21DETAlIED�D i.S lPTl0 7:OF�WOR41•� S a § W 4 �' X44 3„1 REPLACE SLIDING GLASS DOOR WITH IMPACT, USING LIKE SIZES, NO STRUCTRUAL CHANGES.BEING MADE. • b CONSTRl1CTION :fkAi,iON Additional work to be performed under this permit—check all ' apply: El HVAC Gas Tank CGas Piping 1 Shutters 7I Windows/Doors. 0 Electric El Plumbing OSprinklers Fl Generator. E Roof Roof pitch Total Sq.FfofConstruction: Utilities: Ft Sewer T1 of First Floor: 1 Cost of Construction:$ a 0. I Septic Building Height: i OWNER/LESSEE: yt t � ` . _ _., -,.:,,,,,,, ---,A44:4 .-;,:.,:4',.:-' �� ©NTRACT'OR q _ . o _ . : . a.. � � � ��.. Name Sharon.Wilson Name:. BRUCF M. TYRRFJ I JR. I Address: 9415 S Ocean Dr#12 Company: KAMRELL WINDOWS& DOORS I City: Jensen Beach State: FL Address: 2201 SE INDIAN' ST. BLDG Q-4 � Zip Code: 34975 I Fax: City: STUART State: FL ' Phone No. 203-640-2315 Zip Code: 34997 Fax: >-Mail: Phone No, 772-288-6205 Fill in fee simple Title Holder on next page(if different E-Mail: ADMIN@KAMRELL.COM from the Owner listed above) State or County License: CGC061180 i If value of construction is$2500 or more,a RECORDED Notice of Commencement is"required. 1 1 i 1 'I x I SUPPLEMENTAL.edhSTRUCT(CN,LtEN LAW 1Nii t-RMATION.p Y DESIGNER ENGINEER:. , Not Applicable MORTGAGE / — COMPANY: Not Applicable Name: Name: Address: Address: 1 City: State: City: State: I Zip: Phone Zip: Phone: 1 FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: I City: City: I Zip.: Phone: Zip: Phone: OWNER/CONTRACTOR AFFI DVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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, isany applicablebylawsany y Y Py. such which is in conflict with Home Owners Association rules, yor and covenants:that ma restrict or prohibit structure.Please consult with your Home Owners Association and review ou"r deed for restractions which may.a I 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 theapproved 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 improvementsto 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 your Notice of Commencement. Signature of Owner/Lessee/Con ctor as Agent for Owner Sig ature of Contractor/Lice Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF MARTIN COUNTY OF MARTIN The f`ggipg instr}&m.,ent was acknowledged before me The forgoing instrument was acknowledged before me thisl l ,day of d.:,(.ZE (" ,20 IS'' by this j'-/I-r'day of ai"C'1119 )r- ,20/K by BRUCE M. TYRRELL JR. BRUCE M.TYRRELL JR. Name-of persoq making statement Name of person making statement Personally Known V OR Produced Identification Personally Known `. f OR Produced Identification Type of Identification Type of Identification V Produced Produced _ I . iliFf) —• . /014/0AX &lbw e1A,..1` (Signature of Nota (Signature of Not x t 1+,'va,,,,, � GODDAH� , 4.10V40-• `�,,r'+e� SUSAN. GODDAe I :Pimp %='�c' Notary Pu tate of F:‘,14.1, i.. Commission No eelCommission No.. I �' \ Notary Publ ealite of 1 u o..1 s Q , , • - Commis 9 on GG 033219 Corsnhstf n G 033219 I r, My Comm.Expires Sep 25,2020 1 + % My Comm.Expires Sep 25.2026 r ''4�I„t+` Bonded through National Notary Assn. 'tf0`,,*+ $onittd tMouoh National Notary Assn. I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE - COMPLETED Rev.8/2/17 1