HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 /18/21
Permit Number
Lul
I y ' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Windows & Door
PROPOSED IMPROVEMENT LOCATION:
Address: 12488 Harbour Ridge Blvd 4-3
Property Tax I D #: 4426-510-0027-000-1 Riverside Village Unit 4-3
Site Plan Name: Michael Schachter
Project Name: Schachter Windows and Door
DETAILED ❑ESCRIPTION OF WORK:
Replacing 6 Windows and 1 Door all with Impact Rated Products
Single Hung SH5500 NOA# 20-0401.03 Sliding Glass Door SGD5570 NOA#17-0420.06
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
Electric _Plumbing _Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 16,555.00
❑WNERAESSEE:
Name Michael Schachter
Address: 12488 Harbour Ridge Blvd 4-3
City: Palm City, FL State.
Zip Code: 34990 Fax:
Phone No.772-336-4891
Lot No.
Block No.
Windows/Doors ` Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR,
Name: William H. Miller
Company: O'Donnell Contracting LLC
Address:1740 NW Federal Hwy
City: Stuart
Zip Code: 34994 Fax:
Phone N0772-408-0200
E-Maiiodonnellpermitting@gmail.com
State or County License CGC035934
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.
State: FL
SUPPLEMENTAL CONSTRUCTION
DESIGNER/ENGINEER:
Name: '
Address:
City
Zip: Phon
FEE SIMPLE TITLE LDER: _ Noi
Name:
Address:
City:
Zip: Phone:
L EN LAW INFORMATION:
Applicable MORTGAGE COMPANY:
Name:
Address:
tate: City:
Zip: Ph
Applicable BONDING COM NY:
Name:
Address;
City -
zip: Phone: —
J
.,Not Applicable
State:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is herebye to obtain a permit to do the work and installation as indicated.
I rtify that no work or installation has commenced prior to th 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 recorded in the public records of St.
Lucie Co my and p ted on that 'bsite b .fare the first i spPction. If o�u i tend to obtai financing, consult
ith leer o e ks�fo a com ncin work or ar n N tice of Comm me t"
STATE OF FLORIDA
COUNTY OFMarin
�_, ( L__\11
actor as Agent for Owner
Signature -of C6 tract-or/Licensetblblder
STATE OF FLORIDA
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 18th day of January 2020 by this 16th day of January 2020 by
Wiblam H. Miller I William H. Miller
Name of person making statement. Name of person making statement.
Personally Known x
Type of Identification
of
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
OR Produced Identification Personally Known x
Type of Identification
of HY"On Allen I (Signature
=SIC
vur V V
C �30, 2023
Commission No.
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
COUNTER
REVIEW
REVIEW
l
REVIEW
REVIEW
OR Produced Identification _
tate oWym )Allen
Comm, # ,66562
- toms: Q, 2023
SEA TURTLE MANGROVE
REVIEW REVIEW