HomeMy WebLinkAboutKelly updated docsAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.
•
Sim
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial " Residential
Address: 13515 Indian River Dr 706, Jenson beach, FL 34957
Property Tax ID tl: 4509-804-0046-000-6
Site Plan Name:
Project Name: Francine & John Kelly
Lot No.
Block No
DETAILED DESCRIPTION OF WORK:
Replacement4 Windows and 1 Daors
TM�Q�i Vf(D$�l
,(g� IS �14a
•4,17L172, Z
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 10,257 Utilities: _Sewer _Septic
%(Windows/Doors
_Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameFrancine & John Kelly
Name: Steve Lambert
Address:13515 Indian River Dr 706
Company: Newsouth Window Solutions
City: Jenson beach State: FL
Zip Code: 34957 Fax:
Phone No.609-828-3170
Address:2526 Okeechobee Blvd.
City: West Palm Beach State:FL
Zip Code: 33409 Fax: 561-479 4100
Phone No 561-712-9000
E-Mail:
FlII In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailwestpaimbeach@newsouthwindow.com
State or County License SCC131151763
IT value or construction Is 525OD 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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTORAFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifythat no work or installation has commenced priorto 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 exemptfrom undergoing afull concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
mWARNING 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 FINANONG, CONSULT
WITH YOUR LENDER 02~TFORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
" #
9�
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contra r/License Holder
STATE OF FLORIDA {�
COUNTYOF IOC\("t Lem(. Ll
STATE OF FLO IDA
COUNTY OF a1 BeaCh
r�
The forgoing instrument was acknowledged before me
I
The forgoing instrument was acknowledged before me
this dayof �AA'Z%y 202. by
this 1 dayofM0.�J 2020 by
SA-e?k.kA Lckenjptit, f-
5- CPV,.tn L0,Mber+
Name of person making statement.
Name of person making statement.
'_�OR
Personally Known OR Produced Identification_
Personally Known Produced Identification
Type of Identification
Type of Identification
Produce A
Produced
(Si nature of NotallotarySyr
(Signature of Publ fF, ijuhiicstateotPlaritla
Notary Public State of Florida
Theresa Feld
Commission No. Theresa F8�L
Corrimi,%& 2s8427
`an
c My C GG 288427
Commission No. Expir�o23
Expires 0110312023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. /19
k
■
E�7!l;E7r
..
f) $
@mj@Ln
\R
}e00
G99-mf
o
�
0 q
\
\
§0
�
§!K
/o;
o(A
/
_
\/\/\
`
as
,/»cn
§FT
\�-4
III=3
m
((\(()/
2(k(7/(
CO
00
CO
OD
OD
ODcoODOD}
3
/
R
>
ca
$0°4pZ
baQea
�) 2
ƒG)
%m
mm
>3
2
O
� ,