HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ('] ]�
Date: 07/02/2019 Permit Number: �`' 7-- j2—
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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:WIN DOW/DOOR INSTALLATION
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PROPOSED IMPROVEMENT;LOCATIDN . ,
Address: 7844 SADDLEBROOK DR
Property Tax ID#: 3321-501-0012-000-0 Lot No. 12
Site Plan Name: Block No.
Project Name: HARRINGTON
ETAtLED DESCRIPTION DF'WORK
REPLACE 23 WINDOWS IN 11 OPENINGS WITH IMPACT.
USING LIKE SIZES.
NO STRUCTURAL CHANGES BEING MADE.
CONSTRUCTION INFORMATION
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 29,970 Utilities: —Sewer —Septic Building.Height:
OWNER/LESSEE CONTRACTOR:
Name G S Harrington(TR)Karen Harrington(TR) Name:BRUCE M.TYRRELL,JR
Address:7844 Saddlebrook Dr Company:KAMRELL WINDOWS& DOORS
City: Port St Lucie State: FL Address:2201 SE INDIAN ST BLDG Q-4
Zip Code: 34986 Fax: City: STUART State: FL
Phone No.585-233-4996 Zip Code: 34997 Fax: 772-288-6208
E-Mail:ROTOFLORIDA@GMAIL.COM 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.
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MRS K,
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Appl icable
Name: Name:
Address: Address:
City: State: City: Stage:
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 AFFI DVIT:,Application is hereby made to obtain a permit to do the work and installation as indicated,
1-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 thepermit 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 YOURNOTICEOF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as°} ent for Owner Signature of Contractor/License HiOder _
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OF MARTIN
The forgoing instrument was acknowledged before me The for ping instrument as acknowledged before me
this aid day of U1i 20 IR 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 Ll fOR Produced Identification Personally Known �^ OR'Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida) Si ature of Notary Public-State of Florida)
Commission No. ����+��+�a Seal SUSAN M GODDARO Ls M GODDARD
YPV+�(Seal) fission No, AN ,1,
Notary Public•State o1.F Notary Public•State of Fiori a
Commission#GG 033 19Commission#GG 033219,
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COUNTER REVIEW REVIE •ar
DATE
RECEIVED
DATE
COMPLETED
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