HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02-16-2022
Permit Number:
LLi
> f ^`` 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: 2023 NW Laurel Oak LN Palm Citv, FL 34990
Property Tax ID #: 4425-605-0048-000-2
Site Plan Name:
Project Name: LEON
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
REPLACE 35 WINDOWS AND 2 SLIDING GLASS DOORS 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:
_Mechanical _ Gas Tank _ Gas Piping
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
(Affidavit required)
Shutters V Windows/Doors — Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Cost of Construction: $ 52,775.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
Name RAYMON LEON GISELA LEON
Address: 2023 NW Laurel Oak LN
City: PALM CITY State: FL
Zip Code: 34990 Fax:
Phone No. 772-301-0299
E-Mail. RAYLEON1 a-VERIZON. NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
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_&1Ka_mrell.com
State or County License CGC061180
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 INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
Name:
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 representatlon 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 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.
Signature of Owner/ L see/Contra or as Agent for Owner
STATE OF FLORIDA
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of V Physical Presence or Online Notarization
this16th day of February 2o22 by
BRUCE M. TRYYRELL JR.
Name of person making statement.
Personally Known V OR Produced Identification
Tvpe of Identification Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
�"+ ►""•y SUSAN MARIE GODDARD
W"'01
= Notary Public - State of Florida
j Commission # HH 033062
My Comm. Expires Sep 25, 2024
aonded through National Notary Assn,
SUPERVISOR I PLANS VEGETATION I SEA TURTLE MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW