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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1573 Commercial
PERMIT APPLICATION FOR: 11 ff i,n,14 r-i1 9 / I$ VWY—,
Address:
Legal Description:
PropertyTaxlD#: ,�;U'J '(T r
4
Site Plan Name: a s 7
Project Name: �' f °'I � ;i I1 -/ /
Setbacks Front ✓ Back: V/ Right Side:
HVAC I _IGasTank
Electric Fj Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ );�, C . tt'
Na
Residential
Lot No. f f
Block No.
Left Side: 7/-
Piping UShutters ❑Windows/Doors
nklers D Generator 0 Roof = Roof pitch
S Ft. of First Floor: _
Utilities:CSewer Septic
City:1 yt-F 1�1, •P,(-k_� State: ill
Zip Code: 6qctS ] Fax;
Phone No. 17_2--4 tE-- L) at L
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
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
SUPPLED/I�NI"AL`COI�IST�UCTIONLIEN [A NFORlUTATION
.
�DESIGNER/ENGINEER:
_ Not Appfrcable
MORTGAGE COMPANY: of Applicable
Name:
Name:
Address:
Address:
City: _ State:
City: State: _
Zip: Phone /
Zip: Ph o
FEE SIMPLE TITLE FjO�DER: Not Applicable
BONDING CONY: _Not Applicable
Name: /
Name:
Address: /
Address:
City: /
City:
Zip: Z Phone:
Zip Phone:
0 NER/ CONTRACTOR AFFIDVIT: Application is hereby de to obtain a permit to do the work and installation as indicated.
i certify that no work or installation has commenced prior to e issuance of a permit.
St. Lucie Count yy 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 DINTEND TO OBTAIN F . ANCING, CONSULT
88
i- ITH YOUR LENDER OR AN • TTORNEY BEFORE RECORDI i YOUR NOTICE TICE OF COMMENC ENT."
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€ 5fgndture of Oer'f i.essee/Contractor as Agent for Owner
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STATE OF FLORID��"! �l
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STATE OF FLORID
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The f n str was cknowled a eforeme
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Name of person making stateme .t:-
Name of person making statem n-t:
Personally Known OR Produced Identification
Personally Known ��/OR�Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature f Notary Public- State of Florida)
(Signature of t� tary Public -State of Florida )
commissio •'7"n AlIa i
commission Wynn Allen
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MANGROVE
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DATE
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