HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/13/2020
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:WindOW & Shutter
PROPOSED 11VIPR0VtMENT L0CAtON;
Address: 5115 Myrtle Drive
Residential X
Property Tax ID #: 3402-608-0286-000-7 Indian River Estates Lot No. 30 & 31
Site Plan Name: Laney Southerly Block No. 48
Project Name: Southerly
1 Window with Impact Rated Products and Installing 1 Accordion Shutter
Architectural Window AR5520 NOA# 19-1126.10
Accordion Shutter 1850.3 Bertha HV - Ammerican Shutter Systems
New Electrical Meter Second Electrical Meter
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: $ 2,126.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
,OWN
ER/LE55Ec
CONTRACTOR:
Name Laney Southerly
Name: Michael O'Donnell
Address:5115 Myrtle Drive
Company: O'Donnell Impact Windows and Storm Protection
City: Fort Pierce, FL State: _
Zip Code: 34982 Fax:
Phone No.772-528-2139
Address:1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone N0772-408-0200
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 CRC1 331273
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.
DESIGNER/ENGINEER: _ Not ApplIca
Name:
MORTGAGE COMPANY: _ N pplicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone
FEE SIMPLE TITLE H ER: _ Not Applicable
Name:
BONDING COMP Y: _Not Applicable
Name:
Address:
Address:
City:
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 County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lepder or an attorney before commencing work or recordir,fit vour Notice of Cnmmenramant
as
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