HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-4-2020 Permit Number:
L` L
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:Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 9032 Short Chip Circle
Property Tax ID #: 3334-501-0188-000-4
Site Plan Name: Raynell Fish
Project Name: Fish Shutters
Lakes at PGA Village
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DETAILED DESCRIPTION OF WORK:
Installing 11 Accordion Shutters
Bertha HV Accordion Shutters FL# 1850.3 by ASSA
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
Residential X
Lot No. 50
Block No. D
_Mechanical _ Gas Tank _ Gas Piping
_ Shutters _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers
_ Generator Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 6,096.00 Utilities:
—Sewer _Septic Building Height:
-. –
OWNER/LESSEE:
CONTRACTOR:
Name Gregory & Raynell Fish
Name: Michael O'Donnell
Company: O'Donnell Contracting LLC
Address: 9032 Short Chip Circle
City: Port St. Lucie, FL State:
Address: 1740 NW Federal Hwy
Zip Code: 34986 Fax:
City: Stuart State: FL
Phone No.419-346-0578
Zip Code: 34994 Fax:
E -Mail:
Phone No 772-408-0200
Fill in fee simple Title Holder on next page ( if different
E -Mail odonnellpermitting@gmail.com
State or County License CRC1331273
from the Owner listed above) I
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.
SUPPLEMENTAL CONSTRUCTION LIEN W INFORMATION:
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DESIGNER/ENGINEER: Not plicable MORTGAGE ;COMPANY: of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phon Zip: Ph e:
FEE SIMPLE TITLE LDER: _ Not Applicable BONDING CO ANY: Not Applicable
Name: Name:
Address: Address:
City: Clty:
Zip: Phone: Zip: Y Phone:
O ER/ CONTRACTOR AFFIDVIT: Application is hereby m e to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to th ssuance 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 Co my ano posted on the jobsite before the first inspe tion. If you intend to obtain financing, consult
with I er in attornev before commencing work or re rig your Notice of Commencement.
� I
natare of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Halder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFManin COUNTY OFMartin
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 4th day of November , 2020 by this 4th day of November _,2020 by
Michael O'Donnell Michael O'Donnell
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature Notary tate ofAllen (Signature of otaryj ate of munAllen
Commission No. Com 63$6562 Comm _-_-I Comm.#G 365562
30, 2�
Commission No ores: 30, 2�
Bd TITU Aarnn Na&y _"r�......:.�' SBMW Thru AaM N6otarY
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
evim. %6/20
SUPERVISOR PLANS VEGETATION SEATURTLE j MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW