HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /tel j�
Date: � �� Permit Number:
yo� f{ RECEIVED
•
JAN 22 2020
Buildingb Permit App licationPerm(ttingDepartment
Planning and Development Services St.lucre County
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial v Residential
PERMIT TYPE:WINDOW/DOOR INSTALLATION
PROPOSED'IIUIPROVE`MEI T L®C"AYTrb?N
Address: 9940 S }OCEAN DR 608 JENSEN BEACH,FL
Property Tax ID#$02-502-0065-000-7 Lot No.
Site Plan Name: Block No.
Project Name: JONES
DETAfL�ED DESCR(PTON�O1 1NO..R:
Nam
REPLACE 3 WINDOWS IN 2 OPENINGS WITH IMPACT.
USING LIKE SIZES.
NO STRUCTURAL CHANGES
aa, rf
CONSTRUCTION INFORMyATIQN,. }
. .> .. a.,?,u.. .
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3850 Utilities: —Sewer —Septic Building Height: 140
OWNEtR/LESSEE C®NTRsACT®'R'
Name Roy Samuel Jones(TR) Name:BRUCE M.TYRRELL. JR
Address: 1862 W 9170 S Unit 31-A Company:KAMRELL WINDOWS &DOORS
City: West Jordan, State:_ Address:2201 SE INDIAN ST BLDG Q-4
Zip Code: 84088 Fax: City: STUART State:FL
Phone No.801-867-6657 Zip Code: 34997 Fax: 772-288-6208
E-Mail:ROYJONES_90@MSN.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.
Sl1P`PLEMENTALCONS RIJCTI® ' I N LA1`l1/ INSF®RIVI`ATI® k•
x.
N=.
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 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 YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Less /Contractor as Agent for Owner Signature of Contractor/L' nse Hold
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OF MARTIN
Theforg instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20by this day of 20_ by
s. e 6 nuc e in T.
Name of person making statement. Name of person making sta ement.
Personally Known OR Produced Identification Personally Known L-�OR Produced Identification
Type of Identifi ^rt yelrs tY _,W Type of Identification
Produced t�.ff kJ 1,�.:� Produced
(Signature of Notary Public-Stat o e of Notary Public-State f F or' a
•••ti• SUSAN M GOD A
'µr��sa
Commission No. `f Notary Public-Stat of Florida ���������,, SUSAN M GODDARD
Commission#GG 0iffi Notary Public Abu
Florida
....pro My Comm.Expires Sep 25,2020 „ Commission#GG 033219
FF�°p`�• g o ionalNotar Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VE VE
COUNTER REVIEW REVIEW REVIEW R V REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19