HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/28/21 Permit Number:
Scm L UGC.
`, 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:Windows
PROPOSED IMPROVEMENT LOCATION:
Address: 5809 S Indian River Drive
Property Tax ID #: 3401-701-0004-000-0 JB Wooten's S/D
Lot No. 1B
Site Plan Name: Kevin Harris
Block No.
Project Name: Harris Windows
DETAILED DESCRIPTION OF WORK:
Replacing 13 Windows with Impact Rated Products
Horizontal Roller HR5510 NOA#20-0406.01 Single Hung SH5500 NOA#20-0401.03
Awning AW5540 NOA#20-0402.05
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 _ Windows/Doors
Pond
Electric _ Plumbing _ Sprinklers _ Generator Roof
Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 17,604.00 Utilities: _ Sewer _ Septic Building Height: _
OWNER/LESSEE:
CONTRACTOR:
Name Kevin Harris
Name: Michael O'Donnell
Address:5809 S Indian River Drive
Company: O'Donnell Contracting LLC
City: Fort Pierce, FL State.
Address:1740 NW Federal Hwy
Zip Code: 34982 Fax:
City: Stuart
Phone No.772-577-1025
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
DESIGNER/ENGINEER
Name:_
Address:
City:
Zip:
Phon
x Not Applicable
State:
FEE SIMPLE TITLE HOLDER: _ Not 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 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
it ender or n attorney before commencing work or recgroing your Nptice of Commencement.
of Ow
STATE OF FLORIDA
COUNTY OF MARTIN
as Agent for- wner
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 28TH day of JANUARY ZOZO by
MICHAEL O'DONNELL
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
V
(Signature of o ,y, tublic Stat�pf nn iM
YVy Men
Commission N9 • `'Cn fll.#GR666562
:...., ` _r 1pir`1130: Sept, 30, 2023
REVIEWS IF ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/2 f—
(L--
Signature of Contractor7License Holder
STATE OF FLORIDA
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
V
(Signature of N tary Pub'-�5tate of F a Ida )
, r Glynn Allen
Commission No. - _ nisfi@6366562
:.._.. :` Espirea: Sept. 30, 2023
SUPERVISORPLANS VEGETATION
REVIEW REVIEW REVIEW
ru am o ry
SEA TURTLE MANGROVE
REVIEW REVIEW
I