HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/13/21 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:Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 6147 Arlington Way
Residential X
Property Tax ID #: 1312-501-0102-000-4 Portofino Shores Lot No.167
Site Plan Name: Adam Bookspan Block No.
Project Name: Bookspan Shutters
FDETAILED.DESCRIPTION OF WORK:
Installing 14 Accordion Shutters
Bertha Accordion Shutters ASSA 1850.03
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: $ 6,542.00
Sq. Ft. of First Floor:
_ Windows/Doors Pond
Roof Pitch
Utilities: __Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Adam Bookspan
Name: Michael O'Donnell
Address:6147 Arlington Way
Company: O'Donnell Contracting LLC
City: Fort Pierce, FL State;
Address:1740 NW Federal Hwy
Zip Code: 34951 Fax:.__
City; Stuart
Phone No. 772-291-8172
Zip Code: 34994 Fax:
E-Mail:
Phone No 772-408-0200
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.
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City:
Zip:.
Phone
State
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:_
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State:
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 to your property. A Notice of Commencement mu be r orded in the public records of St.
Lucie Co�� and posted on the jobsite before the first inspectiy If u ' tend to obtai�r ancing, consult
with,lert r oyj�n attorney befor�omrragncing work or recoPe g v66r otice o#ComRien ement,
i
re &vner/ I e/Con ctor as Agent for Owner
STATE OF FLO
COUNTY OF-
Swo o (or affirmed) and subscribed before me of
Pi�al Pre ence o Online Notarization
thiisn� day of 2020 by
1v 1 1011 vl 4 11 -'r, (A
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
(Signature plF Notary State Cii Elp� do)Allen
Commission No. � M 6562
=M....... phs: Sept. 30, 2023
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
re of Contractor/License Holder
STATE OF FLQ_
COUNTY F_ i° Lk' J
Swo to (or affirmed) and subscribed before me of
Ph 1 I Pr ante pr Online Notarization
this _ 1ay of 202f by
- E) t
-M keb�j a �
Name of person making stat en .
Personally Known OR Produced Identification
Type of Identificatio
ureAf Notary
Commission No.
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
State of Florida )
Wynn Allen
CommJ0366562
r Expires, Sept, 30, 2023
N ABft)n Notary
SEA TURTLE MANGROVE
REVIEW REVIEW