HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST GE COMPLETED FOR APPLICATION TQ8EACCEPTED
Date:
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SCANNED
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Building Permit Application �
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Building and Code Regulation Division
23O0Virginia Avenue, Fort Pierce Fl349D2
Phone: (77Z)46I'16S3 Fax: (77I)462'l578
C0DOND9[CiBlXX Residential
PERMIT TYPE: WINDOW/DOOR INSTALLATION
Address: 9550 S OCEAN DR PH-1 0
Property Tax |D#:45O2'601'0194'0OV'4
Site Plan Name:
Project Name: jACKSON
Lot No.
Block No.
REPLACE VSLIDING GLASS DOORS AND 1WINDOW WITH IMPACT.
USING LIKE SIZES.
N0STRUCTURAL CHANGES BEING MADE.
Additional work tubeperformed under this permit - check all that apply:
—Mechanical __ Gas Tank Gas Piping __Shutters VVVindomo/D000
Electric __Plumbing Sprinklers __Generator Roof Pitch
Total Sq. FtofConstruction: Sq. Ft. ofFirst Floor:
Cost of Construction: $38'V95 -UV|ities:__Sevver_Septic Building Height:
Name Eduardo Correia (TR) (EST)
Name: BRUCE M. TYRRELL, JR
Address: 9550 S Ocean or PH 10 Islandia I
Company: KAMRELL WINDOWS & DOORS
City: JENSEN BEACH State: it-
Zip Code: 34957 Fax:
Phone No. 516-641-6521
Address: 2201 SE INDIAN ST BLDG C-4
City: STUART State: FL
Zip Code: 34997 Fax: 772-288-6208
Phone No 772-288-6205
E-Mail:
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
Ifvalue nfconstruction is $ISUDnvmore, aRECORDED Notice nfCommencement isrequired.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
tSUPP4EMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
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 Count 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 Contractor/L' nse Hcfder
Signature of Owner/ Lessee ontractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTIN
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 101h day of JUNE 204 by
this 10 day of J,)Pj. 204 by
BRUCE M. TYRREL, JR.'
BRUCE M. TYRREL, JR.
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
P�roduucceed,
Y 1{ (10TA4&�
Produced
(Signature of Notary Public- of Florida)
(Si natur of Notary Public-- State of Florida )
�State
Commission No. �O Jai ( "'r' I) SUSAN M GO
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Rev. Z/7/19