HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/1/2020 Permit Number:
LT`LI- 1
L3 t' '` L. Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Windows
PROPO5EC7 Il`+/IPROVEMENT LOCATION:
Address: 5902 Walnut Park Lane
Property Tax ID #: 1312-502-0026-000-0 Portofino Shores Phase Two
Site Plan Name: Windows
Project Name: Windows
6 Windows with Impact Rated Products
Lot No. 19
Block No.
Single Hung SH5500 NOA#17-0630.05 Fixed Window 5520 NOA# 19-1126.10 this PA will be for the Architectural
and Picture Window we are replacing. Mullions NOA# 17-0630.01
New Electrical Meter Second Electrical
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
� C✓c%
Cost of Construction: $ ' fa V 7Ll
Generator
Sq. Ft. of First Floor:
_ Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
NameZollikon LLC
Address:5 Sparrow Drive
City: Nantucket, MA State: _
Zip Code: 02554 Fax:
Phone No. 508-221-7823
E -Mail:
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 N0772-408-0200
E -Mail odonnellpermitting@gmail.com
State or County License CRC1331273
f value of construction is 2500 or more, a RECORDED Notice of Commencement is
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
NEER: Not
Name:_
Address
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspecti . If you intend to obtain financing, consult
witbhender or an attorney before commencing work or recordIng vour Notice of Commencement.
as Agent for Owner
STATE OF FLOJ f i
COUNTY OF $ i
Is(or affirmed) and subscribed before me of
{ Ptcu�r€ feel Pres nce or Online Notarization
thisdayof �A4__,2020 by
Name of person making sttet.
Personally Known OR Produced Identification
Type of Identification
Signature of ContractoFrLicense Holder
STATE OF FLORIDW,
COUNTY OF'
Swor o (or affirmed) and subscribed before me of
_ Phy 'cal Prese e or Online Notarization
this!rMay of , 2020 by
f f Y'=01 vi i!'NYkY1C4
Name of person making stat ent.
Personally Known Produced Identification
Type of Identification
isignatur%OT Notary tate of w"n men
(Signature of Notary State ot�ko�dya )AJ
Commission No. =+�
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Commission No.
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30,2023
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