HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/28/21 Permit Number:
A
- g Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34981e-
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FORM ndow and Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 4949 N Highway A1A, Unit 81
Property Tax ID #: 1414-602-0021-000-5 Breakers Landing Unit 81 Lot No.
Site Plan Name: Cheryl Barton Block No.
Project Name: Barton Windows and Docrs
DETAILED DESCRIPTION OF WORK: — _a
Replacing 9 Windows and 4 Sliding Glass Doors with Impact Rated Products
Horizontal Roller HR5510 NOA#20-0406.01 Picture Window PW5520 NOA#20-0401.16
Sliding Glass Door SGD5570 NOA#17-0420.06
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed unde • 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: $ 29,601.00 _ Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
Name Cheryl Barton
Address:4949 N Highway A1A Unit 81
City: Hutchinson Island, FL State:
Zip Code: 34949 Fax:
Phone No.561-309-7033
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 No772-408-0200
E-Mail odonnellpermitting@gmail.com
State or County LicenseCGC035934
If value of construction is 2500 or more, a R=CORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
State: FL
SUPPLEMENTAL CONSTRUCTI
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
EN LAW INFORMATION:
Jot Applicable
State
FEE SIMPLE TITLE HOLDER: _ rJot Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:_
Address.
City:,
Zip:,
Phone:,
Not Applicable
State:
Not Applicable
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 proper V. A Notice of Commencement must be ecorded in the pub ' ` records of St.
ucie C unty and posted o ejob it 'before the first inspect' in. If u intend to obtain ancing, consult
h I er r n torne fore,c o mencing work or ec :ng v6ur Notice f Com e m e nt,
nature of Owner/ Lesseif/C6tractdAas .agent for Owner f /Sig ature of Gontr ctor/License
STATE OF FL
COUNTY COUNTY OF
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE TR
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW EVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20