HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MU5T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-9-21 Permit Number:
�T I!-"—C CC, -1
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: 14 Maya
Property Tax I D #: 3426-500-0866-000-0 St Lucie Gardens
Site Plan Name: Jeff Payne
Project Name: Payne Shutters
DETAILED DESCRIPTION OF WORK,
Installing 5 Accordion Shutters
Bertha HV1 1850.3
New Electrical Meter Second Electrical Meter
CONSTRUCnON INFORMATION:
Lot No. 14
Block No. 1 & 2
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: $ 1,679.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Jeffrey Payne
Address-14 Maya Way
City: Port St. Lucie, FL State:
Zip Code: 34952 Fax
Phone No.954-980-9648
E-Mail: T
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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
I
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:
Name:
Address:
City:
Zip. Phone
FEE SIMPLE TITLEHOLDER:
Name:_
Address:
City:
Zip:
Phone:
x Not Applicable
State
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State:
x Not Applicable
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 appll�able 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 County and posted on he ' bsite before the first inspection If you intend to obtain financing, consult
wit e er or an attorneytefore commencing work or record' ow Notice of Commencement.
of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FL_ COUNTY OF
Swor (or affirmed) and subscribed before me of
icaI Prese ce or Online Notarization
this �ay of 2024 by
Name of person making st ment.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature f Notary*ubli v e of Flor' )
6 Alper
Commission No. COMM#GG366562
,; _ , ^Fplres; Sept, 30, 2023
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED 1
ev 5/6/20-
ure of Cont MTo-r/License Holder
STATE OF FL
COUNTY OF
Fr
*s.
r affirmed) and subscribed before me of
al Pres ce or _ Online Notarization
ay of , 202GI by
OR
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced ,
(Signature of pi Jc-_Stat9'61FF
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SUPERVISOR I PLANS VEGETATION
REVIEW REVIEW REVIEW
SEA TURTLE MANGROVE
REVIEW REVIEW