HomeMy WebLinkAboutBuidling 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) 462-1578 Commercial Residential
PERMIT APPLICATION FOR:'
ipk 90MMUR,11' 'V
Address: V e_-
Legal Description:
Property Tax ID #:
Site Plan Name:
Lot No,
Block No.
IN LV WC P I I VI I I ICU
0HVAC HGasTank
U11UCf UM pQrm it —cneCK a] I Inal apply:
Flas Pil ElShutters
_
Windows/Doors
1:1 Electric 1] Plumbing
E]Sprinklers
In Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft of First Floor:
Cost of Construction: $ ol) Utilities"'n Sewer Oseptic
Building Height:
8 A""Ot. 8-A wmze
BAC
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OR
Name: Michael O'Donnell
State:
Zip Code:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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: oclonnellpermitting@,grnall.00rn
State or County License: CRC1331273
of construction is $2500 or more, a RECORDED Notice of Commencemeniltss
DESIGNER/ENGINEER:
Not Ap
MORTGAGE COMPANY:
NctApplicable
Name:
Name:
Address:
Address:
City:
State:
City: z�
_State:
Zip: Phone
Zip: Phone: Z'
FEE SIMPLE TITLE
Not Applicable
BONDING COMPA
—Not Applicable
Name: ��R:
Name: 1Z
Address:
Address:
City:
City: Z
Zip: Phone:
Zip: � �' Phone:
OWNIER/ CONTRACTOR AFFICIVIT: Application is,he=ade to obtain a permit to do the work and installation as indicated.
rtify that no work or installation has commenced pr or issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 171ict 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 FINANCING, CONSULT
,iWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE(OFCOMMENCEMENT."
as Agent for Owner
STATE OF FLO
COUNTYCIF
LIS.-
The f r ng�lnstr le,4n p �a�knowledg�dbefore me
this day of 20
_1�!jby
Name of person making statement.
Personally Known -,��DR Produced Identification
Type of Identification
Commission
REVIEWS FRONT I ZONING
I COUNTER REVIEW
RECEIVED
STATE OF FLORkW1,,
COUNTY OF
i n strBe q It
1
,�Ua s k I dged before me
?t�c now
T 'g . Z _ _
thiie td.y 20M by
(17/
Name of person making statement.
Personally Known 11--�DR Produced Identification
Type of Identification
(Sifnature N t r- P bli St t )f Flor
o,1X1aaVSi�Uo ` "iIkQn Alian
Commission
SUPERVISOR I PLANS I VEGETATION SEATURTLE � MANGROVE
REVIEW I REVIEW I REVIEW � REVIEW REVIEW