HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/9/21 Permit Number.-
9 7. L�1L GL
3FL, - � Building pp 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: Accordion Shutters 1
PROPOSED IMPROVEMENT LOCATION:
Address: 9337 Briarcliff Trace
Property Tax ID#: 3322-801-0015-000-5 Briarcliff at PGA Village Lot No.10
Site Plan Name; Gary Forszt Block No,
Project Name; Forszt Shutters
DETAILED DESCRIPTION OF WORT{:
Installing 13 Accordion Shutters J
1850.3 Bertha HV Accordion Shutters made by American Shutter Systems, Inc.
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: $ 14,795.00 Utilities: —Sewer _Septic Building Height:
j OWNER/LESSEE: CO;,NTRACTOR:
Name Gary Forszt Name:Michael O'Donnell
Address:9337 Briarcliff Trace Company:O'Donnell Contracting LLC
City: Port St. Lucie, FL State: _ Address:1740 NW Federal Hwy
Zip Code: 34986 Fax: City: Stuart State FL
Phone No.954-952-4027 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 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 au
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 urty and posted on the jobsite before the first inspection. 1 you intend to obtain financing, consult
with r or an attornev before commencing work or record our Notice of Comment ent.
Signature of Owner/Lessee/Contractor as Agent fbr Owner Sig atu of Cont ctor/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 stn day of MARCH 2O21 by this stn day of MARCH 2021 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
Produced [, Produced
(Signati-06 of Notary Public-State of Florida ) (Signature Jf Notary PiAal' State of M Allen
Commission No. •` "y"' 1�1 nn Allen '� Comm. 66562
GoMmIGG366562 Commission No. _ ; ` as: pvau'aza
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REVIEWS FRONT �LOI�� WAMRA" PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
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