HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/7/21 Permit Number:
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
PROPOSED IMPROVEMENT LOCATION: --
Address: 9525 Laurelwood Court
Property Tax ID #: 1327-701-0060-000-7
Site Plan Name: Anthony R Mariotto
Project Name: Mariotto Windows
Monte Carlo Country Club Unit Three
DETAILED DESCRIPTION OF WORK:
Replacing 6 Windows with Impact Rated Products
Single Hung SH5500 239.2 NOA# 20-0401.03
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
Total Sq. Ft of Construction:
Cost of Construction: $ 4,978.00
_ Generator
Sq. Ft. of First Floor:
Residential X
Lot No. 240
Block No.
I
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
Name Anthony R Mariotto
Address:2804 Bent Pine Drive
City: Fort Pierce, FL State: _
Zip Code: 34951 Fax:
Phone No.561-371-5336
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 I
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE,"
Name:
Address:
City:
Zip: Phone:
R:
Slate
Not Applicable
TION:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
BONDING COMPA .
Name:
Address.
City:
Zip: 17 Phone:
Not Ap cable
State:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby a to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior tot a 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 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 rec ed in the public records of St.
Lucie CounA&ed posted on the jobsite before the first inspection. If yDvm encl,tp obtain financing, consult
with lerAtfr or an—attorneyag-attbirney before commencing work or recordin l' No Commencemer-tt.
g`nature of-e6ner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFMartin
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 7th day of January 2020 by
Michael O'Donnell
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
T7—h� _.V�, A� �
( ignature'4 Notary, Public- St f Fiori
Lynn �ikbn
Commission N A s ,#G 582
-oj *_ Exoms:Se30, 2023
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 71h day of January 2020 by
Michael O'Donnell
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notdky Public- State
of Florida
N.x Ale
Commission No.
C mY����G3l66n
"= : Se . 30 2023
NJ
MANGROVE
PLANS
VEGETATI01�
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REVIEW
REVIEW
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