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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �� Date: �r31' 1� SCANNED Permit Number:ig05-OO BY ., c;i e'I znra "St. Lucie County . UNTY RECENED - -- Building Permit Application 1% 04 70!9 Planning and Development Services permtttlnq D Eame�t Building and Code Regulation Division 5t. 4u60 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: WINDOW/DOOR INSTALATION �PROP�OSE©�""IMPRO�,-UEfyIENT LOCA,��TiIgN: Address: 9425 S Ocean DR Apt 72 Jensen Beach, FL34957 Property Tax ID #: 3535-333-0001-840-2 Site Plan Name: Project Name: COUTERMASH REPLACE 6 WINDOWS AND ONE SLIDING GLASS DOOR WITH IMPACT USE LIKE SIZES NO STRUCTURAL CHANGES BEING MADE Lot No. Block No. 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 Total Sq. Ft of Construction: Cost of Construction: $ 9,330.00 Sq. Ft. of First Floor:_ Utilities: _Sewer _Septic Building Height: Pitch OW ERT./LESSEE-: CONTR4CfOR: Name Charlene Coutermash Edward A Coutenmash Name: BRUCE M. TYRRELL, JR Address: 9425 S Ocean DR Apt 72 Company: KAMRELL WINDOWS & DOORS City: JENSEN BEACH State: _ Zip Code: 34957 Fax: Phone No. 772-229-1678 Address: 2201 SE INDIAN ST BLDG Q-4 City: STUART State: FL Zip Code: 34997 Fax: 772-288-6208 Phone No 772-288-6205 E-Mail: CHARMEDCOUT@GMAIL.COM Fill in fee simple Title Holder on next page( if different from the Owner listed above) E-Mail ADMIN@KAMRELL.COM 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. SUPPL=EMENTAL-CONSTRUrCfI©N ....a , k . LIEN LAWN OR TON:Soft DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY:. Name: _ Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable 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. 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 SignaTure of Owner/ Lessee/ ntractor gent for Owner Signature STATE OF FLORIDA COUNTY OF mcv_+h(N STATE OF FLORIDA COUNTY OF wwtr� I n The forgoing instrum�nt wps acknowledged before me The forgoing instrument was acknowledged before me this�f day of tl CV4 , 20 N by this ay day of YYlwt 204 by Erice VV\ . T,r /r-e.lt -'r• titre //e/ ��- Name of person making s atement. Name of person makin statement. Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced 3J , G . _.,re of 1 ^�. SUSANGODD RD Commission No. i lylotary Public-MState fCFr i ion No. s Commission N GG 33219 REVIEWS COUO TER REVIEW REVIEW REVIEW I OT`tV REVIEW ON SUSAN M GODDARO Public - State of F r a - :)• Commission a GG 033 1 •'"%W•'P Bond throw Natlonal otar A n. REVIEW I REVIEW