HomeMy WebLinkAboutBUILDING PERMIT APPLICATION- ItJ13� I�
ALL APPLICABLE I FO MUU, BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 177 Permit Number:
Building Permit Application SC BY ED
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door III
Address: 9550 S OCEAN DR 303,
Legal Description: ISLANDIA I CONDOMINIUM UNIT 303 (OR 2389-1262)
Property Tax lD #: 4502-601-0017-000-0
Site Plan Name:
Project Name: Rapini
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
REPLACE (2) SLIDING GLASS DOORS AND ONE PICTURE WINDOW AND ONE ENTRY DOOR
WITH IMPACT. USE LIKE SIZES. NO STRUCTURAL CHANGES BEING MADE.
HVAC LJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
na— cnecKall apply:
Piping _ Shutters
nklers Generator
Sq �Ft. of First Floor: _
Utilities: LJ Sewer E]Septic
ZWindows/Doors
11 Roof
Building Height:
Name DUANE RAPINI
Name: Bruce M Tyrrell, Jr
Address:4605 ROCK PORT CIRCLE
Company: Kamrell Windows & Doors
City: LAKE WORTH State: FL
Zip Code: 33467 Fax:
Phone No.561-601-4934
Address: 2441 SE Golfwood Drive
City: Stuart State: FL
Zip Code: 34996 Fax: 772-288-6208
Phone No. 772-288-6205
E-Mail: SIERRAMKT@BELLSOUTH.NET
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: pati.kelvasa@kamrell.com
State or County License: CGC061180
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City: State:
Zip: Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signature of Owner/
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
this SA day of Qr-bJa n).rA 20 aby
BRUCEI
(Name
of Notary Pubic -State of Florida
Personally Known x OR Produced Identification
Type of Identification Produced PATRICIA A-KELVASII
z°I};['1�,. COMMISSION0
Commission No. aFFoesaTs ? (Sa4IRES:JAN22 22,201818
��"� Bonded lhroutlA lst State lnsur
Rexised 07/15/2014
7" __� s
Signature of Contractor/License Hoder
STATE OF FLORIDA
COUNTY OF m—
The forgoing instrument was acknowledged before me
this DV day of 20 ��t by
Bruce M Tyrrell, Jr.
(Name of pe acbnowledging )
( ignature of Notary Pu Iic- ate of Florida j
Personally Known x OR Produced Identification
Type of Identification Produced
u"'rep PATRICIA A. KELVASA
:j,DCommission No.aFFo8s47s (g@-d*MMISsinu�ccno�,
EXPIRES: JAN 22, 2018
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