HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 417/21 Permit Number:
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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
PERMIT APPLICATION FOR: Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 6701 Tulipan
Property Tax I D #: 1306-800-0285-000-8 Spanish Lakes Fairways
Site Plan Name: Catherine & Tom Henning
Project Name: Henning Accordion Shutters
DETAILED DESCRIPTION OF WORK:
Installing 5 Accordion Shutters
Bertha HV1 1850.3 Accordion Shutters
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
Lot No.8
Block No. 55
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:
Cost of Construction: $ 3,008.00
OWNER/LESSEE:
Name Catherine & Tim Henning
Address:6701 Tulipan
_ Sq. Ft. of First Floor:
City: Fort Pierce, FL State:
Zip Code: 34951 Fax:
Phone No.864-238-5101
E-Mail:
Utilities: —Sewer —Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
It to]011lkyk[401to] IX
Name: Michael O'Donnell
Company: O'Donnell Contracting LLC
Address:1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City: _
Zip: Phone:
x Not Applicable
State:
BONDING COMPANY: x Not Applicable
Name:_
Address:
City:
Zip:
Phon
UWNtK/ (:UN I RACTUR 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
improvement to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Coun nd poste on the jobsite before the first Inspection j�.ff-y�ou intend to obtain financing, consult
with lend or an att�ney before commencing work or recordirley�dur Notice -of Commencement.
ure of Owner/ Lessee/Contractor as Agent for Owner i SlWature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OFMARTIN
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 7th day of APRIL , 2021 by
MICHAEL O'DONNELL
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
L
(Signatur@of Notary Public- State of Florida )
Commission No.f W9.#GG366562
nn Allen
Expires. Sept. 30, 2023
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 7Ih day of APRIL 2024 by
MICHAEL O'DONNELL
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Sig►Tatu*f Notary Puu tate of FIVE Allen
pi
Commission No. ` Y cog1 3srJ6�
'�!I&R.30, 2023_.
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COMPLETED
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