HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/21 Permit Number:
i_ R 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:Accordion Shutters
PROPOSED IMPROVEMENT.LOCATION:
Address: 5771 Sunberry Circle
Property Tax ID #: 1312-502-0199-000-3 Portofino Shores - Phase Two
Lot No.449
Site Plan Name: Catherine Lewis
Block No.
Project Name: Lewis Shutters
DETAILED DESCRIPTION OF WORK:
Installing 14 Accordion Shutters
Accordion Shutters 1850.3 Bertha HV ASSA
New Electrical Meter Second Electrical Meter z
[WNSTI lUCT10N INFORMATION: - J
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: $ 6,492.00 Utilities:
—Sewer —Septic Building Height: _
OWN ER/LESSEE: - - -
CONTRACTOR:
Name Catherine Lewis
Name: Michael O'Donnell
Address:5771 Sunberry Circle
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.772-979-3339
Zip Code: 34994 Fax:
E-Mail:
Phone N0772-408-0200
Fill in fee simple Title Holder on next page ( if different
E-Mail odonnellpermitting@gmail.com
from the Owner listed above)
State or County LicenseCRC1331273
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.
I LIEN INFflRMATIQN
t icable MORTGAGE COMPANY: Not Applicable
Name:
Address:
State: City: State:
Zip: one:
LDER: _ Not Applicable
Phone:
PANY: _Not Applicable
p: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is herAy 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 applicable Home Owners Association rules, bylaws orand 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.
Luci County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wiV)endero,r an attorney before commencing work or regor,4ing your Notice of Commencement.
of Owner/ Lessee/Contractor as Agent for Owner I Si natbre o -ton tr r/License Holder
STATE OF FLO
COUNTY OF -�,��
Swor or affirmed) and subscribed before me of
P al Pres nce or Online Notarization
this day of � 202q by
.. L, YNf) 0 L.1C.U\-
Name of person making statement.
Personally Known -OR Produced Identification
Type of Identification
Produced
(Signature W Notar Public -St f FI ri
'� u aMf AF1A hien
Commission N_§ '�"� omm,#G 300562
K. Expires; Sept30, 2023
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DATE
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STATE OF FLO
COUNTY OF -
Sworn"d(or affirmed) and subscribed before me of
L/P ' al Pre ence or Online Notarization
I his ay of .202f by
\,.t C L L
Name of person makings tement.
wn Personally KnoOR Produced Identification
Type of Identification
Produced
(Signature of Nary PubUc- State
� of FI r ynn Allyn
Commission No.x''�
ComMoOGG366562
Expires, Sept. 30, 2023
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