HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/15/21 Permit Number:
Building pp 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 FOR:Windows
PROPOSED IMPROVEMENT LOCATION:
Address: 7666 Greenbrier Circle
Property Tax ID #: 3322-700-0046-000-1 Greenbrier
Site Plan Name: Rich & Marie Humphreys
Project Name: Humphreys Windows
DETAILED DESCRIPTION OF WORK -
Replacing 4 Windows with Impact Rated Products
Residential X
Single Hung SH5500 NOA# 20-0401.03 Architectural Window AR5520 NOA# 20-0401.16
Mull Bar NOA# 20-0406.03
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.41
Block No.
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: $ 5,946.00 Utilities: —Sewer —Septic
OWNER/LESSEE:
Name Richard & Marie Humphreys
Address: 7666 Greenbrier Circle
City: Port St. Lucie, FL State:
Zip Code: 34986 Fax:
Phone No.610-724-9824
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Michael O'Donnell
Building Height:
Company: O'Donnell Contracting LLC
Address:1740 NW Federal Hwy
City: Stuart
Zip Code: 34994 Fax:^
Phone N0772-408-0200
E-Mail odonnellpermitting@gmail.com
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 CONSTRUCTPQN LIEN LAW INFORMATION-
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY:
Name: Name:
Address: Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone: -
City:
Zip: Phone:
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 County and posted on the jobsite before the first inspecti❑ you intend to obtain financing, consult
with le er or an attorneybefore commen 'ng_work or recor g yqiOlIVotice of Commencement.
tractor as Agent for
STATE OF FLORIDA
COUNTY OFMartin
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 15th day of February 2024 by
Michael O'Donnell
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Rroduced
(Signature doNotary Public- State of Florida )
IAllen
Commission No. _� C mSn
G 66562
i` 1 Fxeires: Seat. 30. 2023
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REVIEWS FROSL�'1"`" ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 120
of Contractor/License Holde
STATE OF FLORIDA
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 15th day of February 202t by
Michael O'Donnell
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
� Lkvn, v�
(Signature ot4otary Public- State of Florida }
�r�l� : Wynn Allen
Commission No. Wynn
Expires; Sept. 30, 2023
SUPERVISOR I PLANS VEGETATICfIiE SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW