HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/11/18 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 El
Address: 7666 Greenbier Circle Port ST. Lucie, FL 34986
Legal Description: POD 19 PUD II Greenbrier
Property Tax ID #: 3322-700-0046-000-1
Site Plan Name: Humphreys Windows
Project Name: Humphreys
Setbacks Front x Back:
x Right Side: X Left Side: X
Installing 6 Windows with Impact Rated Product
Fixed Window 17-0614.09 Mullions 17-0630.01 Horizontal Roller 17-0411.08
mitionalworl<tooe errormea unaerinlsperma—cl
HVAC Gas Tank E]GasPiping
Electric El Plumbing ❑Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 10,355.00
Lot No. 41
Block No.
❑_Shutters Windows/Doors
11 Generator Roof = Roof pitch
SFt. of First Floor: _
Utilities: Sewer []Septic
Name Richard & Marie Humphreys
Address: 7666 Greenbrier Circle
City: Port St. Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 610-724-9824
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Michael O'Donnell
Building Height:
Company: O'Donnell Impact Windows
Address: 1740 NW Federal HWY
City: Stuart
Zip Code: 34994 Fax:
Phone No. 772-408-0200
E -Mail: odonnelipermitting@gmail.wm
State or County License: CRC1331273
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name: ml�-eiov a eu
Address:
Address:
City: State:
Zip: Phone
city:sWart State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: »<o Nw Fea—i 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 attornev before
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STATE OF FLORIDA{ STATE OF FLORIDA
COUNTY OF I ) IC� l A Lti COUNTY OF a 41to i
The r om instrument was` acknowledged before me
this of�-2.CAJM�( , 2201S by
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Name of person tng statement
Personally Known OR Produced Identification
Type of Identification
WYNN ALLEN
Commission No �i t TY Publ(Se,*te of Florida
f - •- ommission # FF 923070
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REVIEWS COUONTER I REVIEW I NT S REVIEW
DATE
COMPLETED
Rev, 8/2/17
The tDs in n vent was ck�nowwledgec(be�ore me
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Name of persogwrIking statement
Personally Known OR Produced Identification
Type of Identification
(Signaty�e of Notary Public State of Florida.)..,. _
V - WYNN ALLENr
Commission No
rj 'Plotary11- State of Florida
,
tt - = Commission # FF 923070
___ My Comm. Expires Sep 30, 2019
PLANS RE EW ' VREVIEWON SEA REV EWTURTLE MREV EW