HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/18/19 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/Door
PROPOSED (MP�(?VEMEfd'i LOC�tT10N:
Address: 12164 Riverbend Lane - Port St. Lucie, FL 34984
Property Tax I D #: 4422-502-0021-000-2
Site Plan Name:
Project Name:
Lot No. 18
Block No.
Replacing 40 Windows, 4 Sliding Glass Doors and 2 French Doors all with Impact Rated Products. Single Hung
SH5500 NOA# 17-0630.05; Architurectural and Picture Windows AR5520 & PW5520 NOA# 17-0614.09; Sliding Glass
Door SGD5570 NOA# 17-0420.06; French Door FD5555 NOA# 18-1108.03; Mull Bar NOA# 17-0630.01
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 95,681.00
Name Michael Briesch
Address: 12164 Riverbend Lane
City: Port St. Lucie FL State:
Zip Code: 34984 Fax:
Phone No.407-492-9032
E-Mail:
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Michael ODonnell
Company: ODonnell Impact Windows
Address:1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
E-Mail odonnelipermitting@gmail.com
State or County License CRC1331273
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _Not Applicable I MORTGAGE COMPANY:
Address:
Address:
City: _
Zip:
City: State:
Zip: P)Plle
FEE SIMPLE TIT HOLDER: Not Applicable
Name:
BONDING
Name:_
Address:
Address:
City:
City: 7
Zip: / Phone:
Zip:
Applicable
_Not Applicable
OWAER/ CONTRACTOR AFFIDVIT: Application is hereby r�iade 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 Count 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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
I/t 4 li
j iefi ture o -r Lessee/Contractor Agent for Owner
�
Signature of Coc—toflUcense Holder
STATE OF FLO I
STATE OF FLORIq
COUNTY OF
COUNTY OF 1 fj��A �
—
The for o gin u,gpnt was acknowledge¢.pefore me
this
f ° i
The f in ins ument was acknowledge efore me
thisq! day ofip }' 20by
,20uu9by
'M'l
Name
Name of person making statement.
a e of person making staatemment.
Personally Known � OR Produced Identification
Personally Known i/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
11
ft
(Signatur of Notary ublic- State of Florida )
6
(SignaYu � OA otary Public- State of Florida )
Commission No ` la _ (Seal)
Commission No6 i� G (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Wynn Allen _ .1b, Wynn Alien