HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name: michae, o'oowen
Address:
Address:
City: State:
Zip: Phone
City: swan State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:1740 NW Fe ..[ H�y
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 financine. consult with IPndPr nr an attnrna%r hpfnro
Notice of
as Agent for Owner
STATE OF FLORIDA "�I ) l `�
COUNTY OF 1 Lt, �
The for g mstru ent wa acknowledged before me
this day of 20A by
M I al(w b V j)AI-A.PA
Name of person ing statement
Personally Known OR Produced Identification _
Type of Identification
Produced
V�-tip
(Signatur fNotary Public— -
i,.> P WYNN ALLEN ,
Commission No ' %2ry Pubi(6e*te of Florida
ommission # FF 923070
` "+UFA., My Comm. Expires Sep 30, 2019
REVIEWS I FRONT I ZONING SUPERVIS
COUNTER REVIEW REVIEW
Rev. 8/2/17
Holder
STATEOF
COUNTYOFORIDA p I
The or inginstrymentwaC sack ledgedbby me
this ^^day of (r�(,Ip11 ��AA20.i-O by
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Name of person mg statement
Personally KnownV OR Produced Identification
Type of Identification
(SIgnatof Notary Public State of Florida.)
� /��{, WYNN ALLEN
Commission No. NoMary o- State of Florida
- Commission # FF 923070
AV My Comm. Expires Sep 30, 2079
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/13/18 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: Window/door
Address: 5801 Birch Drive, Fort Pierce, FL 34982
Legal Description: Indian River Estates Unit 08
Property Tax ID #: 3402-609-0390-000-2
Site Plan Name: O'Connor
Project Name: O'Connor Windows and Door
Setbacks Front X Back: X
Right Side: X Left Side: X
Lot No.32
Block No. 62
Installing 6 Windows and 1 Sliding Glass Door LIKE pFOR LIKE with Impact Rated Product.
HaamonalworKtoDe ertormea unoertnlspermlt— cnecKall apply:
HVAC F] Gas Tank E]Gas Piping In Shutters F]Windows/Doors
11 Electric E] Plumbing Sprinklers ElGenerator 0 Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 9.936.00 UtilitiestSewer Septic Building Height:
NameJohn O'Connor
Address: 5801 Birch Drive
Citv: Fort Pierce,
Zip Code: 34982
Phone No. 631-786-9432
State: FL
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
value of construction is
Name: Michael O'Donnell
Company: O'Donnell Impact Window
Address: 1740 NW Federal Hwy
City: Stuart
Zip Code: 34994 Fax: _
Phone No. 772-408-0200
E -Mail:
State or County License: CRC1331273
or more, a RECORDED Notice of Commencement is required.
State, FL