HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� �� Permit Number:
•
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
PROPOSED IMPROVEMENT LOCATION:
Address: 8436 MUIRFIELD WAY
Property Tax ID#. 3328-802-0029-000-7 Lot No.
Site Plan Name: Block No,
Project Name: WATERS
DETAILED DESCRIPTION OF WORK:
REPLACE 3 ENTRY DOORS) SLIDING GLASS DOOR AND 5 WINDOWS 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 x Windows/Doors
Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 28,125 Utilities: _Sewer _Septic Building Height: _
OWNER/LESSEE: CONTRACTOR:
Name David L Waters Donna D Waters Name:BRUCE M.TYRRELL,JR
Address: 8436 Muirfield WAY Company:KAM.REL�,.WIN.Q WS& DOORS
City: PORT SAINT LUCIE State: FL Address:8200 SW LOST RIVER'ROAD;
Zip Code: 34986 Fax: City: STUART State:FL
Phone No.304-48376020 Zip Code: 34997 Fax:. 772-288-6208
E-Mail:'DDWATE'RS'@SBCGLOBAL.NET 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
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.
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."
�32ucQ iQ& Su�c� 7yG i
Signature of Owner/ essee/Con ctor as Agent for Owner Signature of Contractor icense Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF,MARTIN COUNTY OF (Y)&,Ar--\
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 5th day of October 2020 by this 5th day of October , 20 20 by
BRUCE M TYRRELL JR. BRUCE M.TYRRELL JR.
Name of person making statement. Name of person making statement.
Personally Known L"__ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced_
(Signature of Notar (Signature of Notary
SUSAN lu4ARll Gp170AR0
Notary Pub] �}tto pf Florida �$ti' v� 5U5AN MARlE GOD.DARO
Commission No. 'a " ommissl 1' Hfi 033062 Commission No. Not
PuhIi�50t l:�of Florida
My Comm.Expires Sep 25.2024 y fie; Commission k HS 033062
orb;• My Comm,Expires Sep 25,2024
lordedthroughationa a ary Assn.
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DATE
RECEIVED
DATE
COMPLETED
Rev. 2 7/t9