HomeMy WebLinkAboutBuilding Permit Application - KrylaAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/13/2021 Permit Number:
9r.
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Replacement Of Windows with Impact
PROPOSED IMPROVEMENT LOCATION:
Address: 1828 NW Buttonbush Cir Palm City, FL 34990
Property Tax ID #: 4426-802-0012-000-9 Lot No.
Site Plan Name: Kryla, Kathie Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of Windows with Impact
FL NOA 21461
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
r
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 8,148.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kathie R Kryla
Name:Jeffrey Walsh
Address:1828 NW Buttonbush Cir
Company: Liberty Impact Windows & Doors
City: Palm City Stater L-
Zip Code: 34990 Fax:
Phone No.248-417-1850
Address:257 SE Monterey Rd
City: Stuart State: FL
Zip Code: 34994 Fax: N/A
Phone No 772-444-7112
E-MaiI:N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail info@libertyimpactwindows.com
State or County License CGC1 528257
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFO
DESIGNER/ENGINEER: X Not Applicable
N..., e:
vairic.
Address.
City:
Zip: Phone State:
FEE SIMPLE TITLE HOLDER:
Name: --_Not Applicable
Address:
('itv•
Zip: Phone:
RMATION.
MORTGAGE COMPANY: �( Not Applicable
Name:
Address:
City: State:
Zip: phone:
BONDING COMPANY: Not Applicable
Name:
Address:
Cit
,•
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 r
structure. Please consult with your Home Owners Association and review our deed for an restrictions which may apply.
y y y restrict or prohibit such
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 RE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ATT RNEY BEFORE RECORDING YOUR NOTICE OF COMMEENT.
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Signature
as Agent for Owner
STATE OF FLO
COUNTY OF
The oing instr m nt was acknowledged before me
this day of
20 J by
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Name of a on mak' g statement.
Personally Known_ OR Produced Identification
Type of Identification
Produced
(Signature ot Notary Public- State bf Florida )
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Commission No. � .
Notary P b Stem of Florida
�P''`� Stephanie Spurn
. ,-.,, -..on HH 057731
Ty Expros 1 /27rlVCM
REVIEWS FRONT °
COUNITE. i ..EVIEW ,REVlE.N
RECEIVED
DATE
COMPLETED
Signature of Cttractor License Holder
STATE OF FLORIDA
COUNTYOF
The or oing instr ty�as cknowledge efore me
this dayof\GC 20jj by
Name o p rson ing statement.
Personally Known � OR Produced Identification
Type of Identification
Produced
(Signatur o� f Notary Public- State6f Florida )
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PLANS VEGETA
REVIEW , P.EVIE.
.yr ftu Notary Pubh'c Stale of Floods
i ttj * Stephanie Spurlin
REVIEW