HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER:
_ Not Ag icable
MORTGAGE COMPANY:
_ Not Applicable
Name:
N a me: Michae4Aoannee
Address:
Address:
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City:
State:
City: smart
State:
Zip: Phone r°
Zip: Phone:
/
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FEE SIMPLE TITLE HAi.DER:
_ Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_Not
Address J4eNw eae,aiHw
Address:
City
City:
_
Zip: Phone:
Zip: i 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 thepermit 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
worK Or
as Agent for
of Contractor/License
STATE OF FLORIDA STATE OF FLORIDA ,
COUNTY OF ` l ,�'L COUNTY OF
The fp i g inst nt was acknowledged before me
this
�� day of �I 20 by
1i \A,p�y)Qu ( V0
Name of person ing statement
Personally Known OR Produced Identification
Type of Identification
U 1p...p„'' ::F�^r�� WYNN ALLEN
Commission No ” ti �p'Pt ry Publ(be*te of Florida
•----Commission # FF 923070
My Gomm, Expires Sep 30, 2011
REVIEWS I COI° TER I REVI W (NT ZONING S REVIEW
Rev. 8/2/17
The f g instr nt was acknowledged before me
this day of 20_6 by
L,
40 Name of person ing statement
Personally Known OR Produced Identification
Type of Identification
Produced
Vww & -�
(Sre of Notary Public State of Florida.).
WYNN ALLEN
Commission No , , ° � _6dIotary q- State of Florida '
Commission # FF 923070
1P` My Comm. Expires Sep 30, 20191
PLANS � REVIEW VEGETATION EVI WI SEA REVIEW LE I MANGROVE
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
PERMITTYPE: Windows and Doors
P
Address: 10200 Isle of Pines Court
Property Tax ID #: 3321-802-0012-000-4
Site Plan Name: Merritt
Project Name: Henry Merritt
Replacing 20 Windows and 3 Doors LIKE FOR LIKE with Impact Rated Product
Single Hung 17-0630.05 Mull 17-0630.01 Sliding Glass Door 17-0420.06
Horizontal Roller 17-0411.08 Fixed Windows 17-0614.09 (AR & PW)
Additional work to be performed under this permit – check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 34,577.00
_ Generator
Sq. Ft. of First Floor:
Lot No. 6
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
Name Henry & Judith Merritt
Address: 10200 Isle of Pines Court
City: Port St. Lucie State: Ell
Zip Code: 34986 Fax:
Phone No. 864-710-8196
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 odonnelipermitting@gmaii.com
State or County License CRC1331273
f value of construction is $2500 or more. a RECORDED Notice of Commencement is rem,ired
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.