HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number-
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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:WINDOW/DOOR INSTALLATION
PROPOSED IMPROVEMENT LOCATION:
Address: 7672 CHARLESTON WAY
Property Tax ID#. 3321-801-0030-000-3 Lot No. 30
Site Plan Name: Block No.
Project Name: HAMMER
DETAILED DESCRIPTION OF WORK:
REPLACMENT OF 12 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 V Windows/Doors
Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ $15,860 Utilities: —Sewer _Septic Building Height
OWNER/LESSEE: CONTRACTOR:
Name Pamela J Hammer Name:BRUCE M.TYRRELL, JR
Address:7672 Charleston WAY Company:-KAMRELL WJNDOWS&DOORS
City: Port St Lucie State: FL Address: 8200 SW LOST RIVER R6
Zip Code:' 34986 Fax: - City: STUART r State: FL
Phone No.772-285-5954 Zip Code: 34997 Fax: .772-288-6208
E-Mail. PAMHAMIVIERFL@AOL.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
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."
Si nature of Owner/Lessee/Copt for as A or Owner Signature of Contractor/Licenspgolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF t COUNTY OF
The forgoing instrument was.acknowledged before me The forgoing instrument was acknowledged before me
this day of N( l0; 20� by this, day of KQ���r'^ 20 by
Name of person making sta ement. Name of person making statement.
Personally Known L--'OR Produced Identification Personally Known L--- OR Produced Identification_
Type of Identification Type of Identification
Produced Produced
(Signature of Notary (Signature of Notar
SaY' SUSAN kiE GODDARD f{�j'r''� SUSAN MAR4E GODDARD
`: Notary P iic-state of Florida g Notary Public F Florida
Commission No. tom, j gjy)#HH 033062 Commission No. rr pp
Commissio�1�433d62
cFr},,:' My Comm.Expires Sep 25,2024 oFn.,., My Comm,Expires Sea 25.202A
at Notarymsn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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