HomeMy WebLinkAboutBuilding PermitALL 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 S
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR:
Address:
Legal De.
Property Tax ID #: ) j ^f i 44 - `%L ".6J
Site Plan Name: $ 4 %{as21r 1, k_ f 5
Project Name: 41-8_cZ) ,
Setbacks Front i/_�Back: Right Side: t� Left Side:
icu unuo unn Ncn a rt—uic�rt au cNNiy.
[1HVAC Gas Tank ❑Gas Piping _Shutters
Electric 0 Plumbing Sprinklers Generator
Total Sq. Ft of Construction: ry S Ft. of First Floor: _
Cost of Construction: $ ` : J . Utilities:DSewer ElSeptic
Lot No. . e
Block No.
❑ Windows/Doors
03 Roof = Roof pitch
Building Height:
0(Nff
9Y ,
CONT2kG7OR
Name
Name: Michael O'Donnell
Address•;`�6' {ff ruR,V°ex EA
Company: O'Donnell Impact Windows
City: i'ti ''4�u� State:f
Zip Code: , Fax:
Phone No. :7 .1 a q ' 7 `��
Address: 1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No. 772-408-0200
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: odonnellpermitting a@gmail.com
State or County License: CRC1331273
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: —No Applic a MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: / State: City: J State:
Zip: Phone Zip: Phone. �
J „-
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address: `
City: % City.''
Zip: / Phone: ,Z'ip: Phone:
J jy
)R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANC1t11G, CONSULT
AVATEf YOUWEENDE-YL aR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.'/yJ
fdHafuV of OWn rf/ Lessee/Contractor as Agent for Owner
1.
Sigyga ur`g of?Confracto + nse HolderSTATE
OF O i -
"uA,
STATE OF GRID FLORIDA g4_^
COUNTY OF (F,�'
COUNTY OF
The foriA&stru ant was acknowledged before me
this it) day of C'�_ $�1 20 � by
The f gi �inst me'nt was acknowledgePd�before me
this ? day of ? s � 20 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known �'� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signafd'k of btary Public- State of Florida)
(Signature 6� Notary Public- State of Florida )
Commission No. G43UL-6- (Seal)
Commission No. -,3(Dt6— ;), (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. L///ly
Wynn