HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: lu ua •� lJ�
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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: 50 Aqua Ra Dr Jensen Beach, FL 34957
Legal Description: WINDMILL VILLAGE BY THE SEA-UNITTWO-BLK A E 1/2 LOT 8(OR 958-2469: 971-1447: 1019-1316
Property Tax ID#:.4511-811-0009-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Santoro
Setbacks Front Back: Right Side: Left Side:
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REPLACE 1 SLIDING GLASS DOORS AND 5 WINDOWS WITH IMPACT.
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Additionalwork to be nertormed un er t is permit—check a appy:
HVAC Gas Tank E]Gas Piping L I Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator a Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ , q q Utilities: _Sewer F—]Septic Building Height:
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flUNER�LESS � �y/� �
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Name Brel - �SCfJ� f��i0!t Name: Bruce M Tyrrell,Jr
Address.2444 ArJIAaDZ Company: Kamrell Windows& Doors
City: STUART 1 ate:FL Address: 2441 SE Golfwood Drive
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Zip Code: 346 c s• Fax: ^X7' '66o�" City: Stuart State:FL
Phone No. - • ' X333 Zip Code: 34996 Fax: 772-288-6208
E-Mail:F'°TY "moi v°cnnKgn RG��Cnl� 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 thepermit 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 our Notice of Commencement.
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_Signature of Owner/Le/ee/AgetO Signature oT-Contractor/Licgfise Hold
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 3 day of F-6 r-q a 20 t-�by this 3 day of 6r t4 20 f�a by
BRUCE M TYR4L,JR. Bruce M Tyrrell,Jr.
(N --—e-,of p so a nowledging) (Name of per acknowledging)
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ig ture of Notary Pub' -State of Florida JSigngiture of Notary P c-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. #FF065476 Wdo WftlAA.KELVASA Commission No. #FF095476 (SeatTRICIAA.KELVASA
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MY COMMISSION 4
MY COMMISSION
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Revised 07/15/2014 Fr rF�
Bonded through 1st State Insurance Bonded through 1st State Insurance
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS