HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/9/2020 Permit Number:
U LUCIE
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 FORMindows
PROPOSED IMPROVEMENT LOCATION:
Address: 8722 Tompson Point Road
Property Tax ID#: 3327-704-0007-000-3 Tompson Point at PGA Village Lot No.6
Site Plan Name: Judy Campagnola Block No.
Project Name: Campagnola Windows
DETAILED DESCRIPTION OF WORK: 1
Replacing 8 Windows with Impact Rated Products
Single Hung SH5500 NOA#20-0401.03 Architectural AR5520 and Picture Windows PW5520 NOA#19-1126.10
Mull Bar NOA# 17-0630.01
New Electrical Meter Second Electrical Meter
CONSTRUCTION,INFORMATION:
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: Sq. Ft, of First Floor:
Cost of Construction: $ 10,424.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: i CONTRACTOR:
NameJudy Campagnola Name:Michael O'Donnell
Address:8722 Tompson Point Road Company:O'Donnell Contracting LLC
City. Port St. Lucie, FL State: Address:1740 NW Federal Hwy
Zip Code: 34986 Fax: City: Stuart State:FL
Phone No.772-468-9598 Zip Code: 34994 Fax:
E-Mail: Phone N0772-408-0200
Fill in fee simple Title Holder on next page( if different E-Mail odonnellpermitting@gmail.com
from the Owner listed above) State or County LicenseCRC1331273
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 = INFORMATION:
DESIGNER/ENGINEER; ` Not A :cable MORTGAGE COMPANY: of Applicable
Name: Name:
Address: Address:
City: State_ City: State:
Zip: Phone Zip:
FEE SIMPLE TITLE HOB DER: _Not Applicable BONDING CO ANY: Not Applicable
Name: �f Name;
Address: ;' Address;
City: City;
Zip: Phone; Zip: Phone:
OW CONTRACTOR AFFIDVIT: Application is hereby mad to obtain a permit to do the work and installation as indicated.
I ce. ?fy 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 sub)ect 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 C unty and posted on the jobsite before the first inspection. If u intend to obtain financing, consult
with d r a b-e ore commencin work or record injy�Wrr Noti men meq .
e o n rl Lessee/Co ra or as Agent for Owner Sign re of C tracto tense H
STATE OF F!O 1 STATE OF FLO
COUNTY OF F COUNTY OF RI 91- �y-�
Sworn,w-fcr affirmed)and subscribed before me of Swor o(or affirmed)and subscribed before me of
►�R ical Pres ce or Online Notarization sical Pre ce or Online Notarization
this�ay of 2020 by this ay of 2020 by
N�me bT person m]7:0
ent. Name Qf person making statement.
Personally KnownProduced Identification Personally Known iZOR Produced Identification
Type of identification Type of Identification
Produced Produced
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETEDT -T-7
ev.516/20