HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/22/21 Permit Number:
r
' - 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: Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 5608 Sun Pointe Drive
Property Tax ID #: 1312-501-0059-000-7 Portofino Shores Lot No. 124
Site Plan Name: Luz Lopez Block No.
Project Name: Lopez Shutters
DETAILED DESCRIPTION OF WORK:
Installing 15 Accordion Shutters
Accordion Shutters 1850.3 Bertha HV1
New Electrical Meter Second Electrical Meter
EcoNsTRUCTION 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: $ 6,419.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Luz Glamar Molina Lopez Name: Michael O'Donnell
Address:5608 Sun Pointe Drive Company: O'Donnell Contracting LLC
City: Fort Pierce, FL State: _ Address:1740 NW Federal Hwy
Zip Code: 34951 Fax: City: Stuart State: FL
Phone No.787-354-1099 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW 1NFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:_
Address:
City:
Zip:
one
State
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable ,
tate:
BONDING COMPANY: x Not Applicable
Name:_
Address:
City:_
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 o your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Counu4nd posted on the jobsite before the first inspection. If y2trinten�to obtain financing, consult
with len or an 4R6rnev before commencing work or recording udV NotiuKof Commencement.
5ignatim'of Owner Lessee/Contractor as Agent for Owner Signature of Contractor)tt6ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFMARTIN COUNTY OFMARTIN
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 22ND day of MARCH , 202tp by
MICHAEL O'DONNELL
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Pro iced
. t (Signatu of Notary Pub ic- State of Florida }
Commission No.
W Allen
CommG366562
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 22ND day of MARCH , 202it by
MICHAEL O'DONNELL
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature 0Votary P .State o*NA)Allen
Commission No. -mob Comm,# 66562
.� Expires Septl% 2023
REVIEWS CFR' `j"J 2i 0067h�� REVIEW REVIEW
RPLANS EVIEW I VREVIEW 01N SEREVIEWRILE MANGRO WVE
DATE
RECEIVED
DATE
COMPLETED
ev. 516/20