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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONUw' All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:-(ya//VaQ l SCANNED Permit Number: BY St. Lucie County Building Permit Ap Planning and Development Services Building and Code Regulation Division. 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x PERMIT TVPE:WINDOW/DOOR INSTALLATION �P,R�©P,OSED�MPR©uEMENT L®CAa,�I,ON; Residential Address: 27 LAKE VISTA TRL 106 Port St Lucie, FL 34952 Property Tax ID #: 3422-500-0370-000-4 Lot No. Site Plan Name: Project Name: ROACH REPLACE 5 WINDOWS IN 4 OPENINGS WITH IMPACT. USING LIKE SIZES. NO STRUCTURAL CHANGES BEING MADE. Additional work to be performed under this permit— check all that apply: Block No. _Mechanical _ Gas Tank —Gas Piping _ Shutters —Windows/Doors. _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor:_ Cost of Construction:$ 5050 Utilities: _Sewer _Septic Building Height: OV1(,;NER/L�ES� SEE: CONTRACTOR: Name Donald E Roach Name: BRUCE M. TYRRELL, JR Address: 27 Lake Vista Trl #106 Company: KAMRELL WINDOWS & DOORS City: Port St. Lucie, State: _ Zip Code: 34952 Fax: Phone No.772-344-4584 Address:2201 BE INDIAN ST BLDG O-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 If value of construction is $250D 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. SUPPLEfVIENTALCONSTRUCTON,ILIEN L4WdN.FORMATIONfi: .4:' f i ia' . .: " 1 - M 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: 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 andcovenantsthat 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." STATE OF FLORIDA COUNTY OF MARTIN for Owner I Signature of STATE OF FLORIDA COUNTY OF MARTIN The fo oing instrumentwas acknowledged before me The for%i.ng instrum nt was acknowledged before me this &T day of IQ(vp 20 11 by this 12,,Nday of June 20/a by BRUCE M. TYRRELL, JR. BRUCE M. TYRRELL, JR. Name of person making statement. Name of person making statement. Personally Known FOR Produced Identification Personally Knowny OR Produced Identification Type of Identification Type of Identification Commission No. REVIEWS COMPLETED ary P i I (Signature of Notary Pi SUSAN M GODDARD ;% Nolii►I)Dlic - State of Florida Commission No. p Commlacfon / 6G 033219SondedtlroOn National Netar Ass . FRO PLANS VEGETATI COUNTER REVIEW REVIEW REVIEW REVIEW SUSAN M GODDARD No$904plic - State of Rork Commiseion N GG 033219 REVIEW I REVI