HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/11/20 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
PERMIT TYPEVindow/Door
PROPOSEID IMPROVEMPNTLOCATION:
Address: 12387 S Indian River Drive
Property Tax ID #: 4504-603-0014-000-1
Site Plan Name: Brown
Project Name: Brown
Replacing 3 Windows and 1 French Door all with Impact Rated Products
Horizontal Roller HR5510 NOA# 17-0411.08
French Door FD5555 NOA# 18-1108.03
Lot No. 3
Block No.
Additional work to be performed under this permit–check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 8,560.00 Utilities: -Sewer _Septic Building Height:
Name Christopher & Sonya Brown
Address: 12387 S Indian River Drive
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. 561-262-0746
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Pitch
Name: Michael ODonnell
Company:ODonnell Impact Windows
Address: 1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone N0772-408-0200
E -Mail odonnellpermitting@gmail.com
State or County License CRC1331273
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
_ Not
MORTGAGE COMPANY:
Name:
_ No plicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Pho
State:
FEE SIMPLE TITL�DER:
Name:
_ Not Applicable
BONDING CO ANY:
Name:_
Not Applicable
Address:
Addr
City:
C'
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made 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
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of Owner/ Lessee/Contractor as Agent for Owner I Sigfiature of Contractor/License Holder
STATE OF FL STATE OF FLOQQ
COUNTY OF11i COUNTY OFIf`6_f,1
The f n instra� acknowledg d before me
this day of + 20 by
Name of person making
Personally Known _jam OR Produced Identification
Type of Identification
Produced
IAAXA4'V I LUL41
(Signatur Notary Pu ' an te of FlAllen
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Commission No.
REVIEWS FRONT I ZONING
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The fq�ding ins nt was acknowledge efore me
thistl'I dayof 200
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Name of person making�z.-
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of
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Comm.
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