HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/16/21 Permit Number:
Building 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: Doors
�PROPOSEID I'M'PROVEMENT LOCATION;
Address: 7775 Gullotti Place
Property Tax ID #: 3414-501-1111-400-0 St Lucie Gardens
Site Plan Name: Carmen & Evelyn Capezzuto
Project Name: Capezzuto Doors
DETAILED DESCRIPTION OF WORK:
Replacing 1 Sliding Glass Door and 1 French Door with Impact Rated Products
Sliding Glass Door SGD-5570 NOA# 20-2429.05
French Door FD-5555 NOA# 20-0427.05
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
Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 12,247.00
OWNER/LESSEE:
Sq. Ft, of First Floor:
Residential X
Lot No. 11
Block No. 3
Windows/Doors Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
Name Carmen & Evelyn Capezzuto
Address: 7775 Gullotti Place
City: Port St. Lucie, FL State:
Zip Code: 34952 Fax:
Phone No.772-348-1305
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Michael O'Donnell
Company: O'Donnell Contracting LLC
Address:1740 NW Federal Hwy
City: Stuart
Zip Code: 34994 Fax: _
Phone No772-408-0200
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
LSUPIPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applica
Name: Name.
Address: Address:
City: State: City: State:
Zip: Phone Zip. Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 Assoclatlon 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.
MORTGAGE COMPANY:
x Not Applicable
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
improveme is to your property. A Notice of Commencement must be corded in the public records of St.
Lucie Coy a5oosted on the jobsite before the first inspection. I u irate to obtajn financing, consult
with 1 er attorney b fore mencin work or recordin r Nq�f Cotprirrencei'6ent.
re of Owner/ Lessee/Contractor as Agent for Owner I S* ; ature o Contrac r License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OFMARTIN COUNTY OFMARTIN
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 16 day of MARCH .; 2020 by
MICHAEL O'DONNELL
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
(SignaturMf Notary PRP Late of Woh Allen
Commission No.
CCM� G366562
Expill �t 30, 2023
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REVIEWS
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REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
—
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 16 day of MARCH 2020 by
MICHAEL O'DONNELL
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
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Commission No. _ �►►YY ,'y�,'y�����rr�
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