HomeMy WebLinkAboutBuilding Permit Application S
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: lac
a0 Permit Number: a d aa-oy� t
�: - ticY: bv RECEIVE[
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' Building Permit Appli atic[ B 1:8 2020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE:WIN DOW/DOOR INSTALLATION
Address: 7370 S OCEAN DR 715
Property Tax ID M. 3522-607-0095-000-7 Lot No.
Site Plan Name: Block No.
Project Name: PETERSON
DETAILED DESCRIPTION OF aWORK- " _
REPLACE 1 SLIDIN GLGASS DOOR WITH IMPACT.
USING LIKE SIZES.
NO STRUCTURAL CHANGES BEING MADE.
CONSTRUCTION INFORIVIATION ,„q , � ��x� �� x
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters i W2dows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: `J --/7 , Sq. Ft. of First Floor:
Cost of Construction:$ _-7i —! 0 Utilities: —Sewer —Septic Building Height:
iX
OWNER/LESSEE x �®NTRACT®R
Name Philip Peterson&Robyn Kulikowski Name: BRUCE M.TYRRELL,JR
Address:7370 S Ocean DR Apt 715 Company:KAMRELL WINDOWS& DOORS
City: JENSEN BEACH State:_ Address:2201 SE INDIAN ST BLDG Q-4
Zip Code: 34957 Fax: City: STUART State:FL
Phone No.517-242-5652 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.
S'UPP'LEMENTAL CON�STRUCTI®N LEEN LAM/ UNF®RbM�I'I®N
;M
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."
Signature of/Owner/Lessee/Contractor as Agent for Owner Sig ature of Contra ctor/Lic .se Hold r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF M a, COUNTY OFr„� n
The forgoing instrument was acknowledged before me The fob�,�P4J1T, g instrum nt was acknowledged efore me
this`�.o,Qday of 20Qjby his 61---bayof n 20�y
�Obin 14(o w 5 k t'
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known /\ OR Produced Identification
Type of Identification Type of Identification
Produced L Produced
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(Signature of Notary P - r (Sig ature of Notar P - tate O tori a
Notary Public State of Florida Notary ublic S ate of Flo da
Patrig�ti����A����elvasa Patricia A K Ivas
Commission No. MyCW11t�iJsionGG174008 Commission No. �� � MyCommissr 174008
orf` Expires 01/2212022 aAo Expires 01/22/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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