HomeMy WebLinkAboutSIGNED BUILDING PERMIT APP-DOWLINGAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '�� 1 - ���' Permit Number:
IDIJ r - •r-
U - ° I -L' --- -- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 2902 KINGSLEY DR Fort Pierce- FL
Property Tax ID #: 1432-806-0106-000-7 Lot No.
Site Plan Name:
Project Name: DOWl111
DETAILED DESCRIPTION OF WORK:
REPLACE 11 WINDOWS AND 1 FRENCH DOOP, WITH IMPACT,
USING LIKE SIZES,
NO STRUCTURAL CHANGES BEING MADE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
(Affidavit required)
Block No.
Mechanical _ Gas Tank —Gas Piping _ Shutters V Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction.
Cost of Construction: $17,814
OWNER/LESSEE:
Sq. Ft. of First Floor:
Utilities: -Sewer —Septic
Name Annie Mae Dowling Rose Dowling
Address:
City: FORT PIERCE State: FL
Zip Code: 3494 Fax:
Phone No, 772-465-7036
E-Mail:_De_Xter_dowl inuayahoo. com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of C1
If value of HAVC is $7,500 or more, a RECORDED Notice of Commi
CONTRACTOR:
Building Height:
Name: BRUCE M. TYRRELL JR.
Company: Kamrell Windows & Doors
Address: 8200 SW LOST RIVER ROAD
City: Stuart State: FL
Zip Code: 34997 Fax: 772-288-6208
Phone No 772-288-6205
E-Mail SueQKamrell.com
State or County License CGC061180
)mmencement is required.
?ncement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
State:
MORTGAGE COMPANY
Name:
Address',
Citv:
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.
Not Applicable
State:
Phone
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
RAI
Si ' ature of Owner/ Lessee/ ntract s Agent for Owner
STATE OF FLORIDA
COUNTY OF mg,d,A
Sworn o (or affirmed) and subscribed before me of L/Physical Presence or Online Notarization
this_ day of 1 20Ii-by
0c e M ,
Name of person making statement.
Personally Known IIOR Produced Identification
Tv—u of Identification Produced
(Signature of Notary Public- State of Florida )
SUSAN MMIE GODDARD
Commission No. (Seal); Notary Public - State of Florida
Commission # HH 033062
o My Comm, Expires Sep 25. 2024
Sanded through National Notary Assn.
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
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