HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-8-21 Permit Number:
UA LF 1.11?'
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:Windows and Door
PROPOSED IMPROVEMENT LOCATION:
Address: 135 SE Naranja Ave
Property Tax ID #: 3419-540-0163-000-4 River Park Unit 05
Site Plan Name: Windows and Door
Project Name: Windows and Door
DETAILED DESCRIPTION OF WORK:
Replacing 13 Windows and 1 Door all with Impact Rated Products
Residential X
Single Hung SH5500 NOA#20-0401.03 Horizontal Slider HR5510 NOA# 20-0406.01
Sliding Glass Door SGD5570 NOA# 17-0420.06
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
Electric _ Plumbing _ Sprinklers _. Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 14,606.00
OWNER/LESSEE:
Sq. Ft. of First Floor:
Windows/Doors
.e
Lot No.26
Block No. 47
Pond
Pitch
Utilities: —Sewer _Septic Building Height:
Name Resident
Address:135 SE Naranja Ave
City: Port St Lucie, FL State:
Zip Code: 34983 Fax: _
Phone No.772-812-5014
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Michael O'Donnell
Company: O'Donnell Contracting LLC
Address:1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone N0772-408-0200
E-Mail odonnellpermitting@gmail.com
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 LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Addres
City:_
Zip:
Pho
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
I Zip: Phone:
State:
Not Applicable
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 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 pplicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult wit. 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 and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
withrien r or an attor. a before commencing work or reco tng yoar Notice of Commencement.
Owner/ Lesske/,G06t_ractor as Agent for iOv n
STATE OF FLORIDA
COUNTY OFMARTIN
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 8TH day of JANUARY 2020 by
MICHAEL O'DONNELL
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
L\_LLA __%� ,,
(Signatu of Nottvry Public- State of Florida )
Commission No.
DATE
RECEIVED
DATE
COMPLETED
evd�. /6/20
W Allen
omm%66562
Signature of Con'tfactor/Licerlserf-older
STATE OF FLORIDA
COUNTY OFMARTIN
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 8TH day of JANUARY 12020 by
MICHAEL O'DONNELL
Name of person making statement.
Personally Known x
Type of Identification
Produced
(Signature of
Commission
OR Produced Identification
lic 5ta[e pf�F1'ondMen
CoVmit-# OW62
Dow Sept 30, 2023
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