HomeMy WebLinkAboutBuildilng Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-17-19 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 TYPE: Accordion Shutter
PROt�ClSED iNPRtUEMENT LOCA ftQN:
Address: 8258 Riviera Way
Property Tax ID #: 3327-711-0024-000-0
Site Plan Name: Lugar
Project Name: Lugar Accordion Shutter
Installing 3 Accordion Shutters
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,254.00
Name John Lugar
Address: 8258 Riviera Way
City: Port St. Lucie
Zip Code: 34986
Phone No.772-359-5180
_Sprinklers _Generator
Sq. Ft. of First Floor: _
Lot No. 17
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
State:)=L
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Michael O'Donnell
Company: O'Donnell Impact Windows
Address: 1740 NW Federal Hwy
City: Stuart State'. FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
E -Mail odonnellpermitting@gmail.com
State or County License CRC1331273
f value of construction is S2500 or more, a RECORDED Notice of Commencement is reauired
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW I RMATION:
DESIGNER/ENGINEER: _ Not Applica
Name:
MORTGAGE COMPANY: _ Not Appl' Ie
Name:michae O'Donnell
Address:
Address:
City: State:
Zip: Phone
City: swan State:
Zip: Phone:
FEE SIMPLE TITLE HOL _ Not Applicable
Name:
BONDING COMPAN . _Not Applicable
Name:
Ad dress: 1740 NW Fed Hwy
Address: _
City:
City:
Zip: Phone:
Zip: Phone:
OWN / CONTRACTOR AFFIDVIT: Application is hereby m3ae to obtain a permit to do the work and installation as indicated.
I c ify 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 your Notice of Commencement.
Rev. 8/2/17
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA�;�
STATE OF FLORIDA ;/�/1��i
COUNTY OF t V/ l
COUNTY OF j J/'
�L /
The fo Ding mstr men, was acknowledged before me
The for ' g instru ent was acknowledged before me
this 4z of 20,1 by
this of- 20� by
Q�
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Name of person ing statement
Name of person ing statement
Personally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur f Notary Pubilc States �
Kit
(Signatof Notary Public -State of Florida.j., .... .._:__-,..
' "'°
WYNN ALLEN
Commission No. + �ppI ry Publ(6e*te of Florida
yJYNN ALLEN
5r2�y,,
Commission No. R %, ' '� Votary �-State of Florida
ommission # FF 923070
Comm.
Oommisslon # FF 923070
%?,� My Comm.
Expires Sep 30, 2019
mow` Expires Sep 30, 2079
an,a
MANGROVE
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17