HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/3/20 Permit Number:
" c1, i k.L, Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Windows
Pf 05ED Cf CP"Et�1 L66 10 t
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Address: 5211 Pinetree Drive Fort Pierce, FL 34982
Property Tax ID #: 3402-602-0152-000-1 Indian River Estates
Site Plan Name: Michelle & Jon Dadko
Project Name: Dadko Windows
12 Windows with Impact Rated Products
Single Hung SH-5500 NOA# 20-0401.03 Fixed Picture Window PW-5520 NOA# 19-1126.10
New Electrical Meter Second Electrical Meter
Lot No.45 & 46
Block No. 4
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: _
Cost of Construction: $ 11,154.00
Sq. Ft. of First Floor:
Utilities: _Sewer Septic Building Height:
Name Michell Dadko
Name: Michael O'Donnell
Address:5211 Pinetree Drive
Company: O'Donnell Contracting LLC
City: Fort Pierce, FL
Zip Code: 34982 Fax:
Phone NO,772-201-0032
State: _
Address:1740 NW Federal Hwy
City: Stuart
Zip Code: 34994 Fax:
Phone N0772-408-0200
State: FL
E-Mail:
Fill in fee simple Title Holder on
from the Owner listed above)
next page ( if different
E-Mail odonnelipermitting@gmail,com
State or County License CRC1331273
n vd!UU ui GVn5UUC110n IS 4WV or more, a newnueu ivotice or commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
_ Not icable
MORTGAGE COMPANY: _
Name:
Not Af iicable
Address:_
Address:
_
City:
Zip: Phon
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITL" OLDER:
Name:
_ Not Applicable
BONDING COMP AN
Name:
Not Applicable
Address:
Address:
City:
City:
---...— ----
Zip: Phone:
Zip: Phone:
PfWNER/ CONTRACTOR AFFIDVIT: Application is hereby madelro 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 Countyy 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.
Inconsideration 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 and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lendervr an attorney before cpmmencinR_work or record IuNour Notice of Commencement,
Si nature of 0 eContractor as Agent for Owrier
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of Con�Eratfor License Hoid
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STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Madm
CO U NTY O F Martin
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 srtl day of December , 2020 by
this sm day of December , 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
T pe of Identification
Type of Identification
P o ce
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( lgnatu o Notary P ,$ate of Fl Allen
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(Signaturg f NotaEy:� lic- Staini���'��
Commission No. ia` Comm #GG36656i
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