HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4l7/21 _ Permit Number:
`? Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercia
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: Accordion Shutters
PROPOSED IMPROVEMENT LOCATION: _ J
Address: 6616 Yedra Ave
Property Tax ID #: 1306-501-0969-000-0 Lot No. 10
Site Plan Name: Carol Hausheer Block No. 69
Project Name: Hausheer Accordion Shutters
DETAILED DESCRIPTION OF WORK_
Installing 4 Accordion Shutters
Bertha HV1 1850.3 Accordion Shutters
New Electrical Meter Second Electrical Meter
__ F
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 Construct' n: �-j Sq. Ft. of First Floor:
Cost of Construction: $ 1 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
Name Carol Hausheer
Address:6616 Yedra Ave
City: Fort Pierce, FL State:
Zip Code: 34951 Fax:
Phone No.208-869-8793
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
IT value oT 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
SLIT}PLEMENTAL CONSTRU CTI:0 N LIEN LAW INFORMATI0N:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
C't
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
x Not Applicable
State:
x Not Applicable 1
yF 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 Co an ❑sted on the jobsite before the first inspection. ou intend to obtain financing, consult
with r n attorne befor ommencin work or record' our ce of Commencement.
i �9
re df-Mner/
STATE OF FLORIDA
COUNTY OF MARTIN
ntractor as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 7th day of APRIL 202# by
MICHAEL O'DONNELL
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
t,57gnatu� of Notary F�ubll � A�lari Com111 GG366562
Commiss�iion No. =� "E �S. Sept, 30, 202,
f'r ...... y Bonded ihru Aaron Not
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
ev. 5T6
gnature of Contractor/
STATE OF FLORIDA
COUNTY OFMARTIN
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 7th day of APRIL . 202f by
MICHAEL O'DONNELL
Name of person making statement.
Personally Known x
Type of Identification
Produced.
(Signature
Commission No.
OR Produced Identification
e WOPAjien
Comm.#K 562
KPfres: Sept. , 2023
ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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