HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/9/2020
Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Accordion Shutters
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PROPOSED IMPROVEMENT LOCATION:
Address: 14 Lake Vista Trl #105
Property Tax I D #: 3422-500-0187-000-4 Vista St Lucie Bldg 14 Unit 105
Lot No.
Site Plan Name: Thomas Grier
Block No.
Project Name: Grier Shutters
DETAILED DESCRIPTION OF WORK
Installing 5 Accordion Shutters
T
Bertha HV Accordion Shutter 1850.3 made by ASSA
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: $ 2,417.00 Utilities: _ Sewer _ Septic Building Height;
OWNER/LESSEE: CONTRACTOR:
Name Thomas Grier Name: Michael O'Donnell
Address: 11 Lake Vista Trl Unit 206 Company: O'Donnell Contracting LLC
City: Fort Pierce, FL State: Address: 1740 NW Federal Hwy
Zip Code: 34952 Fax: City: Stuart
State; FL
Phone No. 727-267-3012 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 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE
Name:
Address:
City:
Zip:
ER:
Phone:
Not Ap cable
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Pho
BONDING
Name:
Addres _
City•
Applicable
tate:
Y: Not Applicable
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun 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 ark�' d posted on the jobsite before the first inspection. If ya�a intend to obtain financing, consult
with,.lrjker,or'an attorrre bef Eommencin work or record', -g ou-r Notice of Comrnencement.
Signatur wner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFMartn
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 9TH day of NOVEMBER 2020 by
C VA 1A
Name cit person making statement.
re of Conttor/License Holder
STATE OF FLORIDA
COUNTY OFMartn
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 9TH day Of NOVEMBER 2020 by
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
Mi �"'i � — /) � — I 'k U ol J'.'
(Signature of 'otary tate of" Allen (Signature of Iota l ate of" j� A]Een
Camp 366562 Comm. 65561
Commission No. - 6E / � 30, 2023 Commission No rx Fb�^ ,'VR, 2023
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE l -
COMPLETED
ev. –