HomeMy WebLinkAboutBuilding Permit ApplicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/18/19 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
PROPOSED-INPROUEMEN"f LOCATI,C�M:
Address: 9408 Pinebark Court Fort Pierce, FL 34951
Property TaxlD #: 1327-801-0058-000-7
Site Plan Name: Lugar Shutters
Project Name: Lugar Shutters
Installing 1 Accordion Shutter
Bertha HV Accordion Shutter 1850.3
Lot No. 169
Block No.
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5620.00
Name Thomas Lugar
Address: 9408 Pinebark Court
City: Fort Pierce State:
Zip Code: 34951 Fax:
Phone No. 772-448-8526
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INF
ATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicabl
MORTGAGE COMPANY:
Name:mi n- o'oo.eu
_ Not Applicab e
Address:
Address:
City:
Zip: Phone
State:
City: sluart
Zip: Phone:
State:
FEE SIMPLE TITLE HOLD!
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: 1740 NW F¢der xy
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWN CONTRACTOR AFFIDVIT: Application is hereby made to tain a permit to do the work and installation as indicated.
I ce that no work or installation has commenced prior to the iss nce of a permit.
St. Lucie County makes no representation that is granting a per. it 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 vour Notice of Commencement.
as Agent for Owner
STATE OF FLORIDA1 j
COUNTY OF I a'A�
The r i Inst ent was acknowledg efore me
this day of 20 -by
t
Name of person mg statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signatur fNotaryPublic--Stat&o"4rr�
'.rtooe... _ WYNN ALLEN 11
Commission No " }i rp�it ry Publ(6eate of Fbdda
- + ommiss(on # fF 923070
+n�oF Eto?A' My Comm. Expires Sep 30, 2019
REVIEWS FRONT ZONING SUPERVIS
COUNTER REVIEW REVIEW
Rev.
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFA{(
Thefo inst ent was acknowledg d before me
this day o 20q by
A'Y), A ib _A k P,- . � (
Personally Known ✓ OR Produced Identification
Type of Identification
Yhp'(,o( lz&'�
(Signatr of NotaryPublic State of Floridan.__. _
i WYNN ALLEN
Commission No Ladoury o- State of Florida
Commission # FF 923070
My Comm. Expires Sep 30, 2019
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