HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l V7 . Permit Number:
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RECEIVED
Building Permit Applicati®n JAM 2 6 2017
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: 1303 N 35th ST., FORT PIERCE, FL
Legal Description: PLAT 3-SUNLAND GARDENS BLK 37 LOT 22(0.18 AC)(OR 3934-2368)
Property Tax ID#: 2405-701-0021-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Buechler
Setbacks Front Back: Right Side: Left Side:
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REPLACE 5 WINDOWS WITH IMPACT
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rtiona work to be performed un er t is permit—check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors c
Electric ❑ Plumbing Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4350.00 Utilities:cn Sewer Septic Building Height:
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Name JERRY BUECHLER ���(� L r~� Name: Bruce M Tyrrell,Jr
Address:1719 SW Leafy RD Company: Kanirell Windows&Doors
City: Port St Lucie State:FL Address: 2441 SE Golfwood Drive
Zip Code: 34953 Fax: City: Stuart State:FL
Phone No.305-510-4927 Zip Code: 34996 Fax: 772-288-6208
E-Mail:THETRUTHBYJERRYB@GMAIL.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 theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 your Notice of Commencement.
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Signature of Owner/LesseefAgent Signature of Contractor/Lice riqeH older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OF Martin
The f in instrment was acknowledged before me The forgoing instrument was acknowledged before me
thisd da of, 20 thisc
_?�tday of 20 M by
BRUCE M TYROL,JR. Bruce M Tyrrell.Jr.
(Name of p s n ac nowledging) (Name=3cknowledging)
_(Sign'fature of Notary Pub'�-State of Florida) (Signature of Notary Public- of Florida
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced VAI HIGIA A. Type of Identification Produced
KELVASA FFC PATRICIACommission No. 'yw MVIN 22,2018 30ECOMFMAIISSION#FF085471
cm
)85476 ICA.KELVASA
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#FF085476
�s%UOMMISSION OFF085476 ornmission No.
B )(PIRES:JAN 22,2018
Bonded through 1st Slate Insuranc,
#4,CF
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS