HomeMy WebLinkAboutBUIDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/28/21 Permit Number:
c17. LC�ILCL
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
PERMIT APPLICATION FOR: Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 16975 Hammock Lane
Property Tax ID #: 3211-811-0025-000-8 Hidden Acres
Site Plan Name: Richard Huff
Project Name: Huff Accordion Shutters
DETAILED DESCRIPTION OF WORK:
Installing 8 Acccordion Shutters
Accordion Shutters ASSA Bertha HV1 1850.3
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
Total Sq. Ft of Construction:
Cost of Construction: $ 3,578.00
OWNER/LESSEE:
Generator
Sq. Ft. of First Floor:
Residential X
Lot No,1
Block No. D
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
II CONTRACTOR:
4 �m
Name Richard Huff Name: Michael O'Donnell
Address:16975 Hammock Lane Company: O'Donnell Contracting LLC
City. Fort Pierce, FL State: Address:1740 NW Federal Hwy
Zip Code: 34987 Fax: City: Stuart
Phone No.772-971-1211 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 MATI0N:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address;
Address:
City:
City:
Zip: Phone:
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.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with nder or an attorney before cowmencing work or repcirding your Notice of Com_ menc men .
ignature of Owner/ Lessee/Contractor as Agent or wner
S&natLYre of Cvntrac or/Lice a Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTIN
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
this 28TH day of JANUARY 2�2� by
X Physical Presence or Online Notarization
th15 28TH day of JANUARY .202() by
MICHAEL O'DONNELL
MICHAEL O'DONNELL
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Prod ced
Produced
(Signature 6bNotary Public- State of Florida)
Wynn Allan
Commission No. = omm.#��$66562
=i Exp1m Sept 30, 2023
(Signature of N lic- St r
���n
Commission �;17mm.#GG�6 B 2
:, �... r Sept.`�,�i23
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