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ESI N / INEER:
Not Applicable
COMPANY: Not Applicable
Name:
SEA TURTLE
Name:
Address:
COUNTER
Address:
City:
State:
City: State:
Zip: Phone:
REVIEW
Zip: Phone:
SIMPLEFEE ITL HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
COMPLETE
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
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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
WARNINGT : 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
commencinzwork or recordine vour Notice of Commencement.
re of Owner/Lessee/Contractor as Agent for Owner
STATE i,
COUNTY
Ther�oing instr ent was acknowledged -before me
this CC77 day of G)) 20 /25 by
(Nam on 7ing)
(Signature of Notary Public- State of Florida )
Personally Known Produced Identification
Type of Identification Produced
Commission No.
nature of Contra ctor/LicerPse Holder
STATE
FLORIDA
COUNTY
The forgoing instrument was acknowledged before me
this 00 day of J�ty , 20 y
Mie -No -e( w /q � c
(Name n ackno )
(Signature of Notary Public- State of Florida )
Personally Known R Produced Identification
Type of Identification Produced
(Seal �4r3f Commission No.
(Seal)
lie �
Ci
Revised 07/15/2014'
O 1 !' 1' tl' e�iwb
j'Wnr AP Fwoires 6/4/20W40
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST 0E COMPLETED FOR APPLICATION TUBEACCEPTED
Date: Permit Number:
Planning and Development Services
Building and Code Regulation Division
z3ooVirginia Avenue, Fort Pierce r/s4yxz
Phone: (772)452 1553 Fax: (772)4G2l578 Cor0r0erci@lResidential X
PERMIT APPLICATION FOR: Window/door I- 5HutM2-5
Address
Legal DE
7640 GREENBRIER CIRCLE, PORT ST LUCIE, FL 34986
scnozmn:
Property Tax |D#: 3322-700-0059-000-5
Site Plan Name:
Project Name: pETERPA8ZEK
Setbacks Front Back:
Right Side: Left Side:
Lot No. 54
Block No.
INSTALL 6 ACCORDION SHUTTERS AND REPLACE 10 WINDOWS AND 1 DOOR SIZE FOR SIZE.
SHUTTERFL185O.3 FIXED WINDOW 17-0014.09 HR17-O411.D8SH17-O63O.O5 SGO17-042O.O8
MULL 17-0630.01
Additional work to be nertormed under this permit –check all tliat. apply:
RHVAC� L� Gas Tank[]GasPiping Shutters [�_]Windows/Doors
�� [—] F]RoofL�E|ectric ��P|umbinQ | |Sprink|ers L|Generator �] Roufpitch
Total Sq. FtofConstruction: 3806 3Ft of First | 2156
Cost of Construction: $ 24260 Uti|ities:� �SexverE]Septic Building Height: 12'
OWNERAESSEE-..
CONTRACTOR*. SANDRA
Name PETER PASZEK
Name: MICHAEL O'DONN ELL
Address: 7640 GREENBRIER CIRCLE
Company: O'DONNELL IMPACT WINDOWS& STORM PROTECTION
Address: 6402 SE FEDERAL HWY
City: PORT ST LUCIE State: FL
Zip Code. 34986 Fax:
Phone No. 772-925-9037
City: STUART - FL
State.
Zip Code: 34997 Fax: 888-833-0167
Phone No. 772-408-0200
E -Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E -Mail: richie.roberts@expeditepermit.com
State or County License: CRC1 331273
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.