HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 QA 1 l Permit Number: X51 a—CSaC�S
. � RECEIVED DEC 012015
Building Permit Application
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 Residential X
PERMIT APPLICATION FOR: Window/door
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Address: 9600 Enclave PL Port Saint Lucie, FL 34986-3214
Legal Description: ENCLAVE AT THE RESERVE LOT 1 (OR 3806-508)
Property Tax ID#: 3322-800-0004-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Boatman
Setbacks Front Back: Right Side: Left Side:
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REPLACE 4 windows with impact
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Additional work toe performed under tis permit—cleck all appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 7673.42 Utilities:Sewer Septic Building Height:
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Name B -Z rvr__ell Jr Name: Bruce M Tyrrell,Jr
Address:2 g600 a�a U%ee Company: Kamrell Windows&Doors
City: S ;�-- �S�. State:FL Address: 2441 SE Golfwood Drive
Zip Code: 34AW Fax:772-288-6208 City: Stuart State:FL
Phone No.772-288-6205 Zip Code: 34996 Fax: 772-288-6208
E-Mail:PATI.KELVASA@KAMRELL.COM Phone No. 772-288-6205
Fill in fee simple Title Holder on next page(if different E-Mail: pati.kelvasa@kamrell.com
from the Owner listed above) State or County License: CGC061180
If value of.construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
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
commeUing work or recording our Notice of Commencement.
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_Signature of Owner/Les a/Age Signature of Contractor/L cense er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OF Martin
The forgoing instrument was ack`now__led-gedeore me The forgoing instrument was acknowledged fore me
this�dayofQe9��b�20 (`'by this 30 day of V-3&JeMn1C"tJL,20 IS by
BRUCE M TYRRBtL,JR. Bruce M Tyrrell,Jr.
(Name of per on acknowledging) (Name of person acknowledging)
(Signature of Notat-i•Public-State of Florida) ( ' ature of Notary PuWiee<ate of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Pr u eI Type of Identification Produced
COmm15$IOn NO. #FF0854 po " Note �ubl State of Florida Commission No. #FF085476 P�e4 tary Public State of Flori
Patri a elvasa triaa A Kelvasa
< y� 1< My Commission FF 85476
Expires 0w212()18My Commission FF 85476 �t eir" Expires 01/22/2018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS