HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: c�� Lao Permit Number:
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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 TYPE:WINDOW/DOOR INSTALATION
PROPOSED IMPROVEMENT LOCATION:
Address: 2241 NW SEAGRASS DR Palm City, FL 34990
Property Tax ID#: 4426-805-0018-000-0 Lot No.
Site Plan Name: Block No.
Project Name: PIERSON
DETAILED DESCRIPTION OF WORK;
REPLACE 17 WINDOWS IN 12 OPENINGS WITH IMPACT.
USING LIKE SIZES.
NO STRUCTUAL CHANGES BEING MADE.
CONSTRUCTION INFORMATION: 1
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters L/Windows/Doors
_Electric _Plumbing _Sprinklers —Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 18,383 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Peter R Pierson (LF EST) Sherry B Pierson (LF EST) Name: BRUCE M.TYRRELL, JR
Address:2241 NW Seagrass DR Company:KAMRELL WINDOWS & DOORS
City: PALM CITY State: Address:2201 SE INDIAN ST BLDG Q-4
Zip Code: 34990 Fax: City: STUART State: FL
Phone No.772-878-4871 _ Zip Code: 34997 Fax: 772-288-6208
E-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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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:
OWNER/ CONTRACTOR AFFIDVIT: 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
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
gnature of Owner/Lessee/Con actor as Agent for Owner Signature of Contractor/Lice se Holde
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OF MARTIN
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 20 day of t11kA(_CkA 20IJ by this day of_ 20 by
BRUCE M.TYRRELL JR. BRUCE M.TYRRELL JR.
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
2)AbUL . Atm� � A_ �
(Signature of Notary Publi.� rt-,� r� 'a
y { ignature of Notar P u1b li - 'at o FI Gr i da
���•,�YP•,,� SUSAN M GODDARD
Commission No. d?°� us���, gg4hy)Public•State of Nori aC mmission No. ,•oVP��;.,, SUSAN MIGODDF:orida
•e Commission#t GG 03321
` Notary Pr{b5� statMy Comm.Expires Sep 25,2 20 Commission#r G?,,,',t•` Bonded t rough Nations otary ssn. ' �'' ,o��, Bhro gh N tlona
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