HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/15/20 Permit Number:
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 and DOOM"
PROPOSED IMPROVEMENT LOCATION:
Address: Juts tray Street
Property Tax ID #: 3419-510-0308-000-0 River Park - Unit 2
Site Plan Name: Vom Orde Windows and Door
Project Name: Vom Orde Windows and Door
11 Windows and 1 French Door all with Impact Rate Products
Single Hung SH5500 NOA 17-0630.05 Horizontal Roller HR5510 NOA 17-0411.08
French Door FD5555 NOA 18-1108.03
New Electrical Meter Second Electrical Meter
Lot No.9
Block No. 21
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 14,203.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameLisa Vom Orde
Name: Michael O'Donnell
Address:925 SW Bellevue Ave
Company: O'Donnell Impact Windows and Storm Protection
City: Port St. Lucie, FL State: _
Zip Code: 34953 Fax:
Phone No.772-260-9922
Address:1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
E-Mail:
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
91 .a,w= ut wnaunuwn n 4Ww or more, a neCUnueu Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name:_
Address:
City: _
Zip: _
FEE SIMPLE TITLE
Name: /
City:
Zip:.
State:
Not Applicable
WNER/ CONTRACTOR AFFIDVIT: Application is hereby r
certify that no work or installation has commenced prior to the
MORTGAGE COMPANY:
Address:
City: _
Zip: _
BONDING COMP Y:
Name:
Address:
City:
Zip: Phone:
Applicable
_Not Applicable
obtain a permit to do the work and installation as indicated,
e 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 inspection. If you intend to obtain financing, consult
witUelAder or an attornev hPfnrp rnmmanrina Wnrlr nr ror1,rrlina .,,, �r Ni,+;,„ ..f r,,......................,
51gQ5W4 of Owner/ essee/CotE_ar as Agent for Owner
'gnat Contractor/License Holder
STATE OF FL O I�
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STATE OF FL O
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COUNTY OF �
Sworn or affirmed) and subscribed before me of
Sworn or affirmed) and subscribed before me of
Physical Presence or Online Notarization
- Physical Presence or Online Notarization
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Personally Known rz/ OR Produced Identification
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Type of Identification
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REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED