HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/28/18 Permit Number:
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: Shutter (-j 1
Address: 9336 World Cup Way
Legal Description: POD 20A at the reserve PUD II Castle Pines
Property Tax ID #: 3327-801-0023-000-9
Site Plan Name: World Cup
Project Name: Jameson World Cup
Setbacks Front X Back: X
Right Side: Left Side:
Installing 8 Accordion Shutters
American Shutter Systems ASSOC. Bertha HV Accordion Shutter 1850.3
Lot No. 15
Block No.
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HVAC LJ
Gas Tank
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❑Gas Piping
apply.
_ Shutters
Windows/Doors
Electric Fj
Plumbing
Sprinklers
ElGenerator
E]
Roof = Roof pitch
Total Sq. Ft of Constructio Q / (�
Cost of Construction: $ tog
SFt. of First Floor: _
Utilities:n Sewer O Septic
Name Michael Mark Jameson
Address: 8238 Mulligan Circle #2823
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 718-704-7346
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name: Michael O'Donnell
Company: O'Donnell Impact Windows
Address: 1740 NW Federal HWY
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No. 772408-0200
E -Mail: odonellpermitting@gmail.com
State or County License: CRC1331273
If value of construction is $2500 or more, a RECORDED Notice of Commencement is
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name: mimael OOaanea
Address:
Address:
City: State:
Zip: Phone
City: StuartState:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: 1730 NW Fe eral 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 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 vour Notice of Commencement.
of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License
STATE OF FLORIDASTATE OF FLORIDA ,
COUNTY OF I ,} ", l ,Lti COUNTY OF
The forgot g instr ent was acknowledge efore me
this ay ofN W 20J25 by
Name of person ing statement
Personally Known OR Produced Identification
Type of Identification
Produced
u I> P WYNN ALL
Commission No -tgpyary Pubi(6eMate of Florida
ommission # FF 923070
My Comm. Expires Sep 30.2n
9Ta£��,.a
REVIEWS I
COUNTER TER I RNT OEVI W (NING S REVIEW
Rev. 8/2/17
The (Fa instyufne— tit waslacknowledger�bby me
this ay of IV °YS,111 FJf � , 20�{ by
Name of person <ing statement
Personally KnownV OR Produced Identification
Type of Identification
Produced
(Signatu� of Notary Public- State of Florida.)-
'WYNN ALLEN
Commission No. l ° L@f°`ary(tq- State of Florida
B'. 18 Commisslon # FF 923070
My Comm. Expires Sep 30, 2019
PLANS
REVIEW (VREVI WON (SEATURTEV EWLE I REVIEW