HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/19/2020 Permit Number:
OVnZ�
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: Door
PROPOSEDI IMPROVEMENT LOCATION:
Address: 7666 Greenbrier Circle
Property Tax ID #: 3322-700-0046-000-1 Greenbrier Lot No. 41
Site Plan Name: Richard & Marie Humphreys Block No.
Project Name: Humphreys Door
Replacing 1 Sliding Glass Door with Impact Rated Products
Sliding Glass Door SGD5570 NOA# 17-0420.06
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 _ Generator
Total Sq. Ft of Construction:_
Cost of Construction: $ 7,624.00
Sq. Ft. of First Floor:
-Windows/Doors _ Pond
_ Roof Pitch
Utilities: Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard & Marie Humphreys
Name: Michael O'Donnell
Address: 7666 Greenbrier Circle
Company: O'Donnell Impact Windows and Storm Protection
City: Port St. Lucie, FL State: _
Zip Code: 34986 Fax:
Phone No. 610-724-9824
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 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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTIOF! LIEN INFORMATION.
,
DESIGNER/ENGINEER: _Not plicable
MORTGAGE COMPANY: Not A Icable
Name:
Name:
Address:
Address:
City: _ State:
City: State:
Zip: Pho
Zip: Phone:
FEE SIMPLE TITL OLDER: _ Not Applicable
BONDING COMPAN . _Not Applicable
Name:
Name:
_
Address: Z
Address:
City:
City:
Zip: Phone:
Zip: Phone:
NER/ CONTRACTOR AFFIDVIT: Application is hereby made obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the is ance 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 lende, or an at orney before commencing work or record/ng vmrrecord/ Notice of Commencement-
-
ignatur Owner essee/Con tactor as Agent for Owner-Signature
of Contractoi711icensetlotcler
STATE OF FLt� 4f
O
1
STATE OF FLORI
COUNTYO jig{ yam,
4
COUNTY FJ,JZ�1i
Swor o (or affirmed) and subscribed before me of
Swo to (or affirmed) and subscribed before me of
_ P al Pres nce or Online Notarization
this day of 2020 by
P y al Pre nce or Online Notarization
this 2020 by
��(of n
Name of person makin/g sjt ement.
Name of person making state nt.
Personally Known q/ OR Produced Identification
Personally Known roduced Identification
Type of Identification
Type of Identification
Produced
Produced e
Z f
( ignati.rof Notary Publi $ y=lorida ynn Allen
CommIGG366562
(Signature of+ otary Ptrbincafl@ p FloriMynn Allen
'le
z
Commission No. x s� �,�{y
r 60p• *L 30, 2023
__ C m GG366562
Commission No. _'+� z I 3Q 2023
�
QO(I T1N1l1i8ron
% .. `fir �i81011
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.