HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/9/21 Permit Number:
L-Ln Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 349B2
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Windows
PROPOSED IMPROVEMENT LOCATION:
Address: 8505 Lakeland Blvd
Property Tax ID#: 1301-609-0004-000-4 Lakewood Park Unit 8-A Lot No. 4
Site Plan Name: Patricia Curry Block No. 1
Project Name: Curry Windows
DETAILED DESCRIPTION OF W®RI(:
Replacing 3 Windows with Impact Rated Products
Single Hung SH-5500 NOA#20-0401.03
New Electrical Meter Second Electrical Meter
CONSTRUCTION fNFOfkVfATfDIV - m J
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: $ 3,559.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: Po TRACTOR: _
Name Patricia Curry Name:Michael O'Donnell
Address:8505 Lakeland Blvd Company:0'Donnell Contracting LLC
City: Fort Pierce, FL State: Address: 1740 NW Federal Hwy
Zip Code: 34951 Fax: City: Stuart State:FL
Phone No,772-828-5699 Zip Code: 34994 Fax:
E-Mail: Phone No 772-408-0200
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable I MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address. Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: 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
improvem nts to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Co�ty pd posted on the jobsite before the first inspection, If you intend to obta�i financing, consult
with_.lender an attorne 1aefore �rrtmencin work or recor iS` wat Noti of Cgrr r'nenc rnent.
_ r
ig6ature of 0 erl L see/actor as Agent for Owner Slgna'turd_af Contra ar/License 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 x Physical Presence or Online Notarization
this 9th day of February , 202J by this 9th day of February , 202# by
Michael O'Donnell Micharl 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
❑ ced Produced
(Signat ❑ ota ic-+State�Haklen (Signature o �,y�Public-W FN1b[h
Comm.#gAW
562 `h CommIGG38
Commission No. Commission o.res:Sept 2023 � p
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED � —
rev. 5�67TO_