HomeMy WebLinkAboutAccordion Shutter Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Wft -toE -
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: S 012L
Legal Description: A__e B011AIIII'm — P�ftak
Property Tax ID#: ��j ® — Lot No._�
Site Plan Name: C Block No.
Project Name: c�
Setbacks Front Back: ''� Right Side: �"'^ Left Side: -/
DETAILED DESCRIPTION OF WORK:
1�6" 15 atw(s0
I Flay P/Mt is ,q &%,Lz�-s
[CONSTRUCTION INFORMATION:
Additional work to (e ne orme under this permit—check a ply:
F]HVAC (�1 Gas Tank Gas Piping _ hutters a Windows/Doors
11 Electric F]Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ ccc _ Utilities:0 Sewer R Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Name: Michael O'Donnell
Address: Of Company: O'Donnell Impact Windows
City: PI State: Address: 1740 NW Federal Hwy
Zip Code: Fax: City: Stuart State:FL
Phone No. — 9 Zip Code: 34994 Fax:
E-Mail: Phone No. 772-408-0200
Fill in fee simple Title Holder on next page( if different E-Mail: odonnellpermitting@gmail.com
from the Owner listed above) State or County License: CRC1331273
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTPWLIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: N a me:Michael O'Donnell
Address: Address:
City: State: City: Stuart State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:1740 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
ornmencing work or recording your 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 4 VI\' COUNTY OF L
Thefor ing instpu me was;acknowledged before me The for . g instr ent was IcknowledgedJefore me
th;;may of. &kc 20_2 by thisoWay of&,51�Wbpy_20J�g by
Name of persogawring statement Name of person ing statement
Personally Known I—' OR Produced Identification Personally Known v' OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(SiinaturJ f Notary Public-Stat-dof4,QTda,4&-., (Sign at of Notary Public-State of Florida
WYNN ALLEN WYNN ALLEN
Commission No. _06t ry Publ(iseAte of Florida Commission No. otary"o-State of Florida
COMMIsslon#FF 923070 Commisslon#FF 923070
Y COMM.Expires Sep 30,2019 My Comm.Expires Sep 30,2019
AnMad th 66n........ ratill National Nuary- , — — —
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Rev.8/2/17
JOSEPH E.SMITH,CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
AFTER RECORD[NG-RETURN TO: FILE# 4482352 09/21/2018 09:24:10 AM
OR BOOK 4182 PAGE 1438-1438 Doc Type:NC
RECORDING: $10.00
PERMIT NUMBER:
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,
Florida Statutes,the following information is provided in this Notice of Commencement.5491
1. DESCRIPTIO OF PROPERTY egal description of the property&street address,if available)TAX FOLIO NO.: o
SUBDIVISION LOCK TRACT LOTBLDC UNIT
• . t
2.GENERAL DESCRIPTION OF IMPR
3. OWNER INFORM��.TION OR LESSEE INFORMATION IF THE LESSEE CONTRRA/C�TE�D�FOR'IBE III(M/PRR(�O�VE NT:
a.Name and address:i�� 1 K-f �. 1 �� LYa�+��4_-f 1 IlX
b.Interest in property:
c.Name and address of fee simple titleholder(if different from Owner listed above):
4. a.CONTRACTOR'S NAME: O'Donnell Impact Windows&Storm Protection
Contractor's address: 6402 SE Federal Hwy,Stuart FL 34997 b.Phone number 772-408-0200
5. SURETY(if applicable,a copy of the payment bond is attached):
a.Name and address:
b.Phone number: c.Amount of bond.S
6.a.LENDER'S NAME:
Lender's address: b.Phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7.,Florida Statutes:
a.Name and address:
b.Phone numbers of designated persons:
8.a.In addition to himself or herself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b.Phone number of person or entity designated by Owner:
9. Expiration date of notice of commencement(the expiration date will be 1 year from the date of recording unless a different date is
specified): ,20_
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPTRATTON OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED NTROPER PAYMENTS UNDER CHAPTER 713 PART I SECTION 713.13 FLORIDA STATUTES AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
(SIgnature of Owner oV Lessee,or wner's or Lessee's jPrint Name and Provide Signatory's Title/Office)
Authorized^Officer/Director/Partner/iManager)
State of T\O(-�-J
County of S 1 vctr L �,y
A
The foregoing instrument was
acknowledged before me this day of 20 ( j5
by (� Z _ as
(name of person) (type of*- -s-kg.officer,trustee,attorney in fact)
for
(name of party on behalf of oft,instrument was executed)
Personally Known_or Produced Identification Type of Identification Produced
Rich Derrig
Commission#GG142764
Expires: September 13,2021
_ 5iga ature tS(Notary Public)
(Print,Type,or Stamp Com nissioned Name f Notary Public)
rftt
oFttt„�� ``• Bonded thru Aaron Notary
Rev.10-15-I2
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772-828-1519
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