HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/29/20 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
PERMITTYPE:ACCOrdion Shutter
PROPOSED IIUlPf2OVEIV)ENT LOCATION:
Address: 9408 Pinebark Court
Property Tax ID #: 1327-801-0058-000-7 Monte Carlo Country Club Lot No. 169
Site Plan Name: Lugar Shutters Block No.
Project Name: Lugar Shutters
4 Accordion Shutters
Bertha HV Accordion Shutter - 1850.3 American Shutter
Assoc.
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: $ 1,599.00
Name Thomas Lugar
Address -9408 Pinebark Court
City: Fort Pierce, FL State:
Zip Code: 34951 Fax:
Phone No. 772-448-8526
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 O'Donnell
Company: O'Donnell Impact Windows and Storm Protection
Address: 1740 NW Federal Hwy
City: Stuart State. FL
Zip Code: 34994 Fax:
Phone No 772408-0200
E -Mail odonnellpermitting@gmail.com
State or County License CRC1 331273
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.
SUPPLEMENTAL GONSTRUCTtON
LIEN LA
FORMATION:
DESIGNER/ENGINEER: _ Not Ap cable
MORTGAGE COMPANY: _ No pplicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE H ER: Not Applicable
Name: %
BONDING COMP Not Applicable
Name:
Address: /
Address:
City: /
City:
Zip: Phone:
Zip: Phone:
O.WkR/ CONTRACTOR AFFIDVIT: Application is hereby ma 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
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