HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-SIGNEDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
5
COUNTi
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
PERMITTYPE:WINDOW/DOOR INSTALLATION
PROPOSED IMPROVEMENT LOCATION:
Address: 1166 NETTLES BLVD
Property Tax ID #. 4502-501-1353-000-7 Lot No.
Site Plan Name. Block No.
Project Name: BEERS
DETAILED DESCRIPTION OF WORK:
REPLACEMENT OF TWO DOUBLE DOORS WITH IMPACT
USE 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 Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ $7,035 Utilities: —Sewer —Septic Building Height: 20'
OWNER/LESSEE: I CONTRACTOR:
Name KEVIN R BEERS & CHRISTINE M IDDINS-BEERS Name: BRUCE M. TYRRELL, JR
Address: 4009 BRYCE, CT Company: KAMRELL WINDQVV,5 DOORS
City: SUMMERVILLE Stater Address: 8200 SW LOST RIVER ROAD
Zip Code: 29483 Fax: City. STUART State: FL
Phone No. 843-901-1308 Zip Code: 34997 Fax: 772-288-6208
E-Mail: CIDDINSBEERS@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
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 I MORTGAGE COMPANY
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:_
Address:
City:,
Zip:
Phone:
►00-3
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone
Not Applicable
State:
Not Applicable
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."
Signature of Owner/ Lessee/C001actorob Agent for Owner
STATE OF FLORIDA
COUNTY OF LYi (k I'()
The forgoing imnstrunt was acknowledged before me
this�ay of 00-vber 26W by
Name of person snaking statement.
Personally Known V OR Produced Identification
Type of Identification
Produced.
Signature of Notary P
SVSAN RIE GaDDARD
; Notary ,b,l'i�j State of Florida
Commission No. ce%g� a HH 033061
yr rti. ' My Comm. Expires Sep 25, 24?A
..... e....Anri Fhrnuuh NatiOn3l "tart' AiSn-
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
C W&1JkM
Glz
Signature of Contractor/Lic e Hol r
STATE OF FLORIDA
COUNTY OF WtJ,/1
The forgoing instrumen v�jjas acknowledged before me
this J J ay of Crl�'J 20aL by
y,fge m j � rye (l 7 t�-.
Name of person making atement.
Personally Known �� OR Produced Identification
Type of Identification
Produced
(Signature of Nota
Commission No.
SUPERVISOR ' PLANS VEGETAYI
REVIEW � REVIEW REVIEW
SUSAN MARIE GOODARD
Publi¢t of Florida
YNotarY n'. bb 033067
commiss's spas Sep 25, ZOYd
Camm. P._ 1 unrary Assn.
.ATURTLE MANGROVE
REVIEW REVIEW