HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/20/21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential X
PERMIT APPLICATION FOR:Accor ion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 140 Mediterranean BLVD
Property Tax ID #: 3426-500-1049-000-4 St Lucie Gardens Lot No.140
Site Plan Name: Valerie Goddard
Block No. 1&2
Project Name: Goddard Shutters
[D(TAILED ❑ESCRIPTION O(WORK,
Installing 4 Accordion Shutters
Accordion Shutter Bertha HV1 1850.3
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: m
-
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: $ 4,613.00 Utilities:
—Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Valerie Goddard
Name: Michael O'Donnell
Address:140 Mediterranean Blvd N
Company. O'Donnell Contracting, LLC
City: Port St Lucie, FL State:
Address:1740 NW Federal Hwy
Zip Code: 34952 Fax:
City: Stuart State: FL
Phone No.508-942-3083
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 CONSTR
LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: ---V'Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City
Zip:
Phone:
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 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.
Luci C unty an posted on the jobsite before the first inspe tion. If you intend to obtain financing, consult
wi I der o a attorne efore commencingwork or re rdj ng you-6Notice otCipmmencement.
nature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLOZN
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COUNTY OF
Sworn (or affirmed) and subscribed before me of
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Name of person maki�ZOR
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Personally Known ProducedIdentification
Type of Identification
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366562
Commission No. � '
_ p ms: 30, 2023
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of
STATE OF FLORI
COUNTY OF
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Sword (or affirmed) and subscribed before me of
pl P al Pr ence or Online Notarization
this day of-202f by
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Name of person making statement.
Personally Known ►� OR Produced Identification
Type of Identification
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Commission No* COMMIGG 6662
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SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
SEATURTLE MANGROVE
REVIEW REVIEW