HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/15/20 Permit Number:
X-I,. LPL -
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 FOR: Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 6103 Arlington Way
Property Tax ID#: 1312-501-0091-000-3 Portofino Shores Lot No.156
Site Plan Name: Michael Smith Block No.
Project Name: Smith Shutters
DETAILED DESCRIPTION OF WORK:
Installing 10 Accordion Shutters
American Shutter Systems Assoc. Bertha HV 1850.3
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: $ 6,208.00 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Michael Smith Name:Michael O'Donnell
Address:6103 Arlington Way Company:O'Donnell Contracting, LLC
City: Fort Pierce, FL _ State: Address:1740 NW Federal Hwy
Zip Code: 34951 Fax: City. Stuart State:FL
Phone No.910-584-4066 Zip Code: 34994 Fax:
E-Mail: Phone No772-408-0200
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 INFORMATION:
DESIGNER/ENGINEER: Not pplicable MORTGAGE COMPANY: Not Applies ale
Name: Name:
Address: Address: �r
City: State: City: �" State;
Zip: Pho Zip: Phone:
FEE SIMPLE TITL DLDER: _Not Applicable BONDING COMPA Not Applicable
Name Name:
Address: Address:
City: City.
�
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereb ade 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in can€fict 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 Coun and osted on thejobsite before the first inspection. If you intend to obtain financing, consult
with le r o attorney a I mg work or recording atre N g&jg7jj7me a ,7
e:��
Signa fOwner essee/Contractor as Agent for Owner Sign re of n �" ense le! r
r
iSTATE 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 151h day of December , 2020 by this 15th 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
Type of Identification Type of Identification
P rai ed Pro uced
Aignatof
46r state o'er" �n t5f t re of otary P e of F Cl en
=� r= Colnm. G 366562 '� Coli m.#GG366562
Commission No. _ _ ftires: � �2023 Commission o. _ ?"€ _7}r;e � 30,2023
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DATE
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DATE
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