HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW I
RMATION:
DESIGNER/ENGINEER:
Name:
_ Not Appli e
MORTGAGE COMPANY:
Name:mia.io•Denneo
_ Not Ap Ifcable
Address:
Address:
City:
Zip: Phone
State:
City: s+edn
Zip: Phone:
State:
FEE SIMPLE TITLE DER:
Name:
Not Applicable
BONDING COM PA
Name:
Not Applicable
Address: +74o Fatl 1Hv
Address:
City:
City:
Phone:
Zip: Phone:
—6WNER/ 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 Count 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 our Notice of Commencement.
of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF I aA l � COUNTY OF��
The f binginstruaient was acknowledged before me
this day of LLra ,rt 9 , 20A by
Name of person mg statement
Personally Known OR Produced Identification
Type of Identification
V i ' --_, WYNN ALLEN
Commission No ° t 'P&Y Pubi(6eVilate of Florida
ommission # FF 923070
MY Comm. Ex iresSep 30, 201,
FROBVITIR
COMPLETED
Rev. 8/2/17
FRONT ZONING SUPERVIS
COUNTER REVIEW REVIEW
The f?[ffn—gfnsqument was acknowledged before me
this day Of _ t..t.�Cl , 20 IA by
Name of person mg statement
Personally Known OR Produced Identification
Type of Identification
Producfeed
(Signatu��eNotary Public State of Florida..)._..
ij WYNN ALLEN
Commission No r—` .�dotary" -State of Florida
.-.. , , s Commission # FF 923070
"'.,�,� My Comm. Expires Sep 30, 2019',
REVIEW NS I VREVIEWON I SEA EV EWLE I MANGRO
REVIEW
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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: Windows and Door
PROPOSED IiViPROVEMENT,,,l TION..-
Address: 8332 Cobblestone Drive
Property Tax ID #: 2326-600-0141-000-9
Site Plan Name: Covey
Project Name: Greg & Nancy Covey
Replacing 9 Windows LIKE FOR LIKE and 1 Sliding Glass Door with Impact Rated Product
Single Hung 17-0630.05 Sliding Glass Door 17-0420.06 Mull 17-0630.01
Lot No. 136
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: $ 13,513.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Name Gregory & Nancy Covey
Address: 8332 Cobblestone Drive
City: Fort Pierce State: E—L
Zip Code: 34945 Fax:
Phone No. 248-568-1191
E -Mail:
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 $2500 or more, a RECORDED Notice of Commencement is reouired
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.