HomeMy WebLinkAboutBuilding permit application I
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/23/20 Permit Number: )o
- - Building Permit Application
Planning and Development Services
Building and Code Regulation Division j
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential i
PERMIT TYPE:WINDOW/DOOR INSTALLATION
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PROPOSED IMPROVEMENT LOCATION:
Address: 10102 S OCEAN DR 603A
Property Tax ID#.. 4502-802-0050-000-0 Lot No.
Site Plan Name: TERPSTRA Block No.
Project Name:
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DETAILED DESCRIPTION OF WORK:
REPLACE 3 WINDOWS AND 1 SLIDING GLASS DOOR WITH IMPACT.
USING LIKE SIZES.
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NO STRUCRUAL CHANGES BEING MADE.
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply: j j
_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:$ 14,325 Utilities: _Sewer _Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
Name Mark R Terpstra Luz C Terpstra Name:BRUCE M.TYRRELL,JR
Address: 11992 NW 82nd ST Compa.ny;_KAMRELL WINDOWS & DOORS
Y Coral S nn 5 8200 SW LOST RIVER.ROAD::
Cit': P 9 State: FL Address: I
33076 STUART. P
Zip Code•: Fax:` City,,: " State:FL,1
Phone No,.6'16=610-0305 Zip Code:.,34997 :,Fax: 772-288-6208
_ ;.,,;
E-M-ail:`mark:�ter' tra rn @'gmail:com Phone No 772=288-6205 '
Fill in fee simple Title Holder on next page(if different E-Mail SUE@KAMRELL.COM
from the Owner listed above) State or County License CGC061180
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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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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."
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Signature of Owner/Lessee/Co ractor gent for Owner Signature of Contractor/L' nse 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 24th day of September 20 20 by this 24th day of September 20 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
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(Signature of Notar - tntp af Qnr1rl (Signature of Notary Public-State of Florida
:,«tv"r�•., SUSAN MARIE GODDARD K"RENA041111!"MW
Commission No. ?°• �� Notary PubyiSete of Florida Commission No. SUSAN RQIE ODDARDion#HH 033062 otary Pufi S e of FloridaMy Comm.Expires Sep 25,2024Commis3lon#HH 033062 a 25 2024d through Na'do al Notary Assn.REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev. 2/7/19