HomeMy WebLinkAboutBuilding Permit ApplicationAll 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: Window
P{tOPOSED IN#PFOUEMEN7:LOCATIO(W: ,
Address: 1008 Hartman Road
Property Tax ID #: 2417-232-0001-100-7
Site Plan Name: Johns
Project Name: Adam & Mary Johns
5 Windows with Impact Rated Product
Single Hung 5500 NOA No. 17-0630.05
Lot No.
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 _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5,052.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Name Adam & Mary Johns
Address: 1008 Hartman Road
City: Fort Pierce State: EL -
Zip Code: 34947 Fax:
Phone No. 586-292-7463
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
Address: 1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
E -Mail donnellpermitting@gmail.com
State or County License CRC1331273
f value of construction is 52500 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW 1 MATION:
DESIGNER/ENGINEER: _ Not Applic
Name:
MORTGAGE COMPANY: _ Not Ap 'able
Name: Mi=heei o D.md
Address:
Address:
City: State:
Zip: Phone
City: swen State: _
Zip: Phone:
FEE SIMPLE TITLE H ER: _ Not Applicable
Name:
BONDING C1 _Not Applicable
Name: _
Address: n ede.tHv
Address:
City:
City:
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 1 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
:ommencing worK or recording vour Notice of Com
of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF 'a
The for �i (g instr nt was acknowledged pbefore me
this � day of ���. 20 i�q by
Name of person ing statement
Personally Known OR Produced Identification
Type of Identification
P�1e WYNN ALLEN
Commission No. a �pyyary Publ(6eViate of Florida
ommission # FF 923070
± o �.0 My Comm. Expires Sep 30, 2014
REVIEWS I CONT O TER I ROEVI NING W S REVIEW
Kev.8/2/17
Name of person ing statement
Personally Kno, V OR Produced Identification
Type of Identification
Produced
if J /&
(Signat ie of Notary Public -State. of Fladda. ,....._.::.:,
ii t WYNN ALLEN
Commission No. n
wiotary9- State of Florida
2°e ^ Commission # FF 923070
n
:�,e
My Comm. Expires Sep 30, 2019
PLANS
REVIEW I VREVI WON I SREVEWLE I M REVE