HomeMy WebLinkAboutbuilding Permit ApplicationlM
SUPPLEMENTAL
CONSTRUCTION
LIEN
INFORMATION:
DESIGNER/ENGINEER: Not plicable
MORTGAGE COMPANY: _ Applicable
Name:
Name:
Address:
Address:
City: State:
City: _State:
Zip: Phon
Zip: Phon .
FEE SIMPLE TITLE LDER: _ Not Applicable
BONDING COMP NY: _Not Applicable
Name:
Name:
Address: X
Address:
City: X
City:
Zip: Phone:
Zip: Z Phone:
3de to obtain a permit to do the work and installation as indicated.
OW R/ CONTRACTOR AFFIDVIT: Application is herebypT X
ertify 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 FINANCING, CONSULT
H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING,YffUR NOTICE OF COMMENCEMENT."
Ignatbre o Owner/ Lessee/Contractor as Agent for Owner
Si "nat' e of Contractor/License Holder
STATE OF FL
STATE OF FLQ1 )r&
COUNTY OR
COUNTY OF �J y��
The g instr Tent was acknowledged before me
thi ayoi�� r 20�jby
The f g instr ent was acknowlecig, d before me
t h i �,{�of�-M7 _,20 j'by
jj
Name of person making statement.
Name of person making statement.
Personally Known OProduced Identification
Personally Known -----OR Produced oduced Identification
Type of Identification
Type of Identification
Prod ced
Produced
[Ai PA A rx
I �
(Signature; f Not ublic- Sta e f Florid
11�ynn Men
(Signature of Notary Pu'b(i < tate of Florida )
Commission N� m.#QG366562
- , 30,3
Commission No. Ion
366562
,44RW MARK
REVIEWS FRONT ZONING SUPERVISOR
PLANS
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VEGETAT SEXi'fLJRT1 U
VE
COUNTER REVIEW REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
All APPLIC BLE 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
PROPOSEDIMPROVEMENT LOCATION:
Address: 7301 Coquina Ave
Property TaxID #: 1301-607-0093-100-9
Site Plan Name: Sweet
Project Name: Sweet
Replacing 7 Windows with Impact Rated Products and Installing 3 Accordion Shutters
Single Hung SH5500 NOA# 17-0630.05 Accordion Shutters HV1 1850.3
Lot No. 16
Block No. 73
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping i Sers _Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq, Ft of Construction:
Cost of Construction: $ 10, 105.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNERJLE$SEE:i .
C(7NTRACTOR:
Name Wayne Sweet
Name: Michael ODonnell
Address:7301 Coquina Ave
Company: ODonnell Impact Windows
City: Fort Pierce, FL State: _
Zip Code: 34951 Fax:
Phone No. 240-427-7372
Address: 1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
E-Maik
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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.