HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/7/2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FC 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:WindoWS and Doors
PROPOSED IMPROVEMENT LOCATION.
Address: 8917 Champions Way
Property Tax ID #: 3334-501-0031-000-9 Lakes at PGA Village Lot No. 17
Site Plan Name: Hatfield Block No. A
Project Name: Hatfield
Replacing 16 Windows and 3 Sliding Glass Doors all with Impact Rated Products
Single Hung SH5500 NOA# 17-0630.05 - Picture & Architectural Windows PW5520 NOA# 19-1126.10 -
Horizontal Roller HR5510 NOA# 17-0411.08 - Sliding Glass Door SGD5570 NOA# 17-0420.06 - Mull NOA# 17-0630.01
New Electrical Meter Second Electrical Meter
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: _
Cost of Construction: $ 30,248.00
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
_ Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mark & Pamela Hatfield
Name: Michael ODonnell
Address -6 Petticoat Lane
Company:ODonnell Contracting, LLC.
City: Troy, NY State: _
Zip Code: 121180 Fax:
Phone No. 518-466-1095
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
It value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW
ORMATION:
DESIGNER/ENGINEER: _ NotAppl' le
MORTGAGE COMPANY: licable
Name:
_Not
Name:
Address:
Address:
_
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE H ER: Not Applicable
BONDING COMP Not Applicable
Name:
Name:
Address:
Address:
City: Z
City:
Zip: Phone:
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 my and posted on the jobsite before the first inspecti . If you intend to obtain financing, consult
witb.4 der or attorney before commencing work or recor our No ' e of Commencement.
Signat re of Owner/ Lessee/Contractor as Agent for Owner
ignatu of Contractor/License Holder
STATE OF FLORIrg1�
COUNTY OF 11
Swor o (or affirmed) and subscribed before me of
P cal Pres c r Online Notarization
thisd y of 2020 by
STATE OF FLO
COUNTY OF
Swor o (or affirmed) and subscribed before me of
- P al Presience or ° Online Notarization
this day ot4LASy 2020 by
10
Name of person makfng state nt.
Personally Known OR Produced Identification
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Pr! u ed _
Produced
J fi
(Signatui of Notary Publli of Flori n Men
Commission No. o C IGG366562
�'Isk � 30�
(Signature INotary Public- of Florid n Allen
__-��� G m GG366562
Commission No. i *p �f 30,62
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.