HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Address: 10
Legal Description:
Residential _I
Property Tax ID #: 7�_11� — li�G I _ _ (l `1) Lot No. 'A
Site Plan Name: QL Block No.
Project Name:`��
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
r� f
Aaamonal worK to De pertormea under tnis permit — c)
HVAC _ Gas Tank n❑Gas Piping
F-1 F-1
L.J
a
Shutters
Electric _ Plumbing Sprinklers L_j Generator
Total Sq. Ft of Construction:
Cost of Construction: $ _f7S 11
S Ft. of First Floor: _
Utilities:Sewer Septic
t] Windows/Doors
11 Roof Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:'
Name ba V1 A
Address:; &1_ i'i ,`
Name: Michael O'Donnell
Company: O'Donnell Impact Windows
City: Ro: � Vl -(L State: FZ----
Zip Code: _-c:) ( Fax:
Phone No. 1) - " 6-4 '
Address: 1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
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: odonnellpermitting@gmail.com
State or County License: CRC1331273
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
N a m e: Michael O'Donnell
Address:
Address:
City: State:
Zip: Phone
City: sluarl State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 140 NW Federal Hwy
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 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.
Signature of Owner/ Lessee/Contractor as Agent for Owner 'Signature of Contractor/License Holder
STATE OF FLORIDA, ; STATE OF FLORIDA
COUNTY OF ',(i � VA- COUNTY OF (M4A i
The fo mstr ent as ack ledg efore me The fpr str ent was ack "o_wledgTby
efore me
this day of 20 by this ( day of 4 20AA 'U/f
1..', 1 _f� AlM.1l
Name of person Ing statement Name of personmlQng statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Y 4 r
(Signatur f Notary Public- State ef=Flctr da am .• (Signat of Notary Public- State of Florida) 1 ,
Pj 119Pt�.� WYNN ALLEN I (�5 WYNN ALLEN
Commission No "'fC:arY Pubi(6ete of Florida Commission No. ' :. ,G�lotary - State of Florida
7
Commission # FF 923010 s Commission # FF 923010
Comm. Expires Sep 30, 2019 %p� ��°o� My Comm. Expires Sep 30, 2019
m�
,.
Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17