HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/28/21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FORMindows
PROPOSE❑ IMPROVEMENT LOCATION:
Address: 308 Holly Ave
Property Tax ID #: 3419-510-0256-000-0 River Park Unit 2
Site Plan Name: Richard Rappa
Project Name: Rappa Windows
DETAILED DESCRIPTION OF WORK:
Replacing 2 Windows with Impact Rated Products
Horizontal Roller HR5510 NOA#20-0406.01
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
Lot No.25
Block No. 19
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:
Cost of Construction: $ 4,408.00
OWNER/LESSEE:
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
CONTRACTOR:
Name Richard Rappa Name: Michael O'Donnell
Address:308 Holly Ave — Company: O'Donnell Contracting LLC
City: Port St. Lucie, FL State: Address:1740 NW Federal Hwy
Zip Code: 34952 Fax: City: Stuart
Phone No. 772-528-8168 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 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.
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFOR MAT] 0N:
DESIGNER/ENGINEER: x Not Applica
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:_
Address:
City:_
Zip:
Phone:
State:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
— I—
Not Applicable BONDING COMPANY:
Name:
Address:
City:_
Zip:
Phone:
x 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 property. A Notice of Commencement must be recorded in the public records of St.
Lucie gounty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wit e er or an attorney before commencing work or recclpdir)g your Notice of Commencement.
SignatuFre'"of Owner/ Lessee/Contractor as Agent for Owner 'Signature of Co c or/Licen older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OFMARTIN
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 28TH day of JANUARY , 2020 by
MICHAEL O'DONNELL
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature Notary Public- State of Floc'
, y 0ynn Men
Commission No. --� CamMOGG366562
. Expires: W. 30, 2023
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
eve. /6/20
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 28TH day of JANUARY , 2020 by
MICHAEL O'DONNELL
Name of person making statement,
Personally Known x
Type of Identification
Produced
(Signature
Commission
OR Produced Identification
Ic- Stated'Allen
Comm.#G.52
!T EXP es: S pk. , 2023
SUPERVISNS ANGRO
REVIEWOR REV EW , VEGETATION I S REV EWEATURTLE MREV EWVE