HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/14/2020 Permit Number:
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: Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 5 Mediterranean BLVD E
Property Tax ID #: 3426-500-0891-000-4
Site Plan Name: John & Pauline Wynkoop
Project Name: Wynkoop Shutters
Installing 9 Accordion Shutters
St. Lucie Gardens
1850.3 Bertha HV Accordion Shutters by A.S.S.A
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: $ 6,163.00
Generator
Sq. Ft. of First Floor:
Lot No. 5
Block No. 1 & 2
-Windows/Doors _ Pond
_ Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John & Pauline Wynkoop
Name: Michael O'Donnell
Address:5 Mediterranean Blvd E
Company: O'Donnell Contracting LLC
City: Port St. Lucie, FL State: _
Zip Code: 34952 Fax:
Phone No.772-579-9482
Address:1740 NW Federal Hwy
City: 34994 State:_
Zip Code: 34994 Fax:
Phone N0772-247-0227
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
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.
SUMEMENTALCONSTRUCTION LIEN LA FORMATION:
DESIGNER/ENGINEER: _ Not Ap 'able MORTGAGE COMPANY: of Applicable
Name: Name:
Address: Address:
City: State: City: % State:
Zip: Phone Zip: Ph e:
FEE SIMPLE TITLE H ER: _ Not Applicable BONDING C PANY: _Not Applicable
Name: Name:
Address: Addre
City: Cit .
Zip: Phone: ip: Phone:
OW R/ CONTRACTOR AFFIDVIT: Application is her.04y made to obtain a permit to do the work and installation as indicated.
ify 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 con, 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 Count And posted on the jobsite before the first inspection. If you inten btain financing, consult
with lend or an Yforne -be re commencing work or recordin ur Notice'of Co ncem ..t. 30,2023
Rev. ,,Signature
of Ow See/Contractor as Agent for Owner
ignat e"of Contractor/tiee�e �I
STATE OF FLOR
STATE OF FLORID
COUNTY OF
COUNTY OF
Sworn o affirmed) and subscribed before me of
a
Swor o (or affirmed) and subscribed before me of
_ i "1.Prese ce or Online Notarization
P al Prese e or Online Notarization
this _day of ��� 2020 by
this I day of ��, 2020 by
Name of person making stat ment.
Name of person making sta�tant.
Personally Known,�OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Pr d
Produced
(Signature of Notary P State f AII@(1
_
(Signature of N�[ary � y/Aate of� ��iYt All@t5
Commission No. ���. Comb �j 366562x_
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Commission No.
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