HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/9/21 Permit Number:
9,To LucI iL,-�
Lam,
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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: 9106 Champions Way
Property Tax ID #: 3334-501-0101-000-1 Lakes at PGA Village
Site Plan Name: Jim & Karen Spencer
Project Name: Spencer Windows
DETAILED DESCRIPTION OF WORK:
Replacing 4 Windows with Impact Rated Products
Architectural Window AR5520 NOA# 20-0401.16 Single Hung SH-5500 NOA# 20-0401.03
Mull Bar NOA# 20-0406.03
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 23
Block No. B
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: $ 5,987.00
OWNER/LESSEE:
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
CONTRACTOR:
Name James & Karen Spencer Name: Michael O'Donnell
Address:9106 Champions Way Company: O'Donnell Contracting LLC
City: Port St. Lucie, FL State: Address: 1740 NW Federal Hwy
Zip Code: 34986 Fax: City: Stuart
Phone No.907-521-0011 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 INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
MORTGAGE COMPANY
Name:
Address:
City:
Zip: _ Phone
x Not Applicable
State: I
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
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County_4nd posted on the jobsite before the first inspectiorFf yintend to obtain financing, consult
with lenoki5b& an a ey bed ommencing work or records v rr otce of Commencement. -
Signature of Owner,
STATE OF FLORIDA
COUNTY OF Martin
actor as Agentfc? Owner I Sigrfature of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 9th day of February 2020 by
Michael O'Donnell
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signatur6)of Notary Public- State of Florida )
Commission No. : Wynn Allen
omm. M366562
Expires: Sept, 30, 2023
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6T20
STATE OF FLORIDA
COUNTY OFManin
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 9th day of February _ 2020 by
Michael O'Donnell
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Nary Public- State of Florida )
Commission Nod �� = Wynn Allen
m m. # GC3J562
. ' 3 EacpireS. Sept 30, 2023
SUPERVISOR PLANS I VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW l REVIEW