HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/14/20 Permit Number:
�M LLUCfl :1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Door
PROPCISED.I"OUE}VIENT I-,OCAT11 "
Address: 2092 Nettles Blvd Jensen Beach FL 34957
Property Tax ID #: 4502-501-0095-000-3 Nettles Island Inc. A Condo -Section 1
Site Plan Name: Luis Perez
Project Name: Perez Door
1 French Door with
FD-5555 NOA NO. 18-1108.03
Rated Products
New Electrical Meter Second Electrical
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: $ 2,730.00
_ Generator
Sq. Ft. of First Floor:
Residential X
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
Name Luis Perez
Address:2741 SW 84th Court
City: Miami, FL State: _
Zip Code: 33155 Fax:
Phone No.305-401-6000
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Michael O'Donnell
Company: O'Donnell Impact Windows and Storm Protection
Address:1740 NW Federal Hwy
City: Stuart State, FL
Zip Code: 34994 Fax:
Phone No772-408-0200
E-Ma i I odonnelipermitting@gmaii.com
State or County License CRC1 331273
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requireo.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
utWUIM M/MUINttK:
Name:
Rot Appucame
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: P ne
State:
City:
Zip: P one:
State:
FEE SIMPLE;!! HOLDER:
Name:
_ Not Applicable
BONDING C PANY:
Name:
Not Applicable
Address:
4 Hracc
Zip: / Phone:
MNER/ CONTRACTOR AFFIDVIT: Application is hi
certify that no work or installation has commenced prior
City.
Phone
fade to obtain a permit to do the work and installation as indicated.
issuance of a permit.
St. Lucie Countyy 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
improv,ments to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie un and poste on the jobsite before the first inspe�n #you intend to obtain financing, consult
wit ii j n r or an at ney before commencing work or rec our Notice o£Cammencement.
as Agent for Owner.
STATE OF FLO A
COUNTY OF
Sworn or affirmed) and subscribed before me of
Ph si I Pre nc or Online Notarization
j �i y{ ay of? 2020 by
Name of person making statement.
Personally Known �� OR Produced Identification
Type of Identification
STATE OF FLO
COUNTY OF
Swor or affirmed) and subscribed before me of
Ph I Pre enc or
Online Notarization
this day of
2020 by
(� i
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
iwgnatureor ivotary Y tate of W"n Alien (Signature c
Com # G366562
Commission No. _ Commission
s
` l&d 9alira Aaron Notay
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
DATE I I—
COMPLETED
Comm. #GG��2 _
I S S4pL ,
VEGETATION ( SEATURTLE ( MANGROVE
REVIEW REVIEW REVIEW