HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-8-21 Permit Number:
L- 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: Windows
PROPOSED IMPROVEMENT LOCATION:
Address: 313 Nettles Blvd
Property Tax ID #: 4502-501-0499-000-5 Nettles Island Inc, A Condo Section II Lot No.
Site Plan Name: Avone Van Blois Block No.
Project Name: Van Blois Windows
DETAILED DESCRIPTION OF WORK:
Replacing 17 Windows with Impact Rated Products
Single Hung SH5500 NOA#20-0401.03 Fixed Window AR5520 NOA#20-0401.16
Mull Bar NOA# 20-0406.03
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 _ Windows/Doors Pond
Electric _Plumbing _Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 18,772.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NarneAvonne Van Blois Name: Michael O'Donnell
Address:313 Nettles Blvd _ Company: O'Donnell Contracting LLC
City; Jensen Beach, FL State: Address:1740 NW Federal Hwy
Zip Code: 34957 Fax:_ City: Stuart State: FL
Phone No.772-229-0161 — 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 LAW IN
DESIGNER/ENGINEER: Not Appli
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE
Name:
Address:
City:
Zip:
ER: _ Not Applicable
Phone:
ATION:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State;
BONDING COMPA,�N'P: Not Applicable
Name:_
Address:
City:
Zip:,
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby de to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to 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 Rome Owners Assoclatlon 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 Co ty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with 1 er r an attorney.,latfore commencing work or recording vote' Notice of Commencement.
actor as AgentTOT-9wner
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
(Signat.ur&W Notary Public- State of Florida j
Commission No. ' ' y�!�� Allen
_*z CaWO GG366562
_Expires; Sep. 30, 2023
REVIEWS FRONT ZONING SUPERVISO
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
Signature of Contractor/License Holder 11-�
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
r --
(Signature o Nota to#e
x Comm.#GG366562
Commission No. _* ms: S*40I 2023
Bonded Thru Aaron Notary
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW