HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/26/21 Permit Number:
L,��1LLC.
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: 21 El Camino Real
Property Tax ID#; 3426-500-0251-000-6 St. Lucie Gardens Lot No.21
Site Plan Name: Kent Feldsted Block No. 1&2
Project Name: Feldsted Shutters
DETAILED DESCRIPTION OF WORK:
Installing 3 Accordion Shutters
Bertha HV1 1850.3 Accordion Shutters
New Electrical Meter Second Electrical Meter
[CONSTRUCTIONIMFORMATION: °&
Additional work to be performed under this permit—check all that apply:
—Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_--_Electric _Plumbing _Sprinklers u Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4,079.00 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: ; CONTRACTOR:
Name Kent Feldsted ^Name:Michael O'Donnell
Address:21 EL Camino Real Company:O'Donnell Contracting LLC
City: Port St. Lucie, FL Stater Address:1740 NW Federal Hwy
Zip Code: 34952 Fax: City; Stuart State:FL
Phone No,971-404-1314 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 INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City:— State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: 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 revlew 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 t e jobsite before the first ins )on f you intend to obtain financing, consult
wi len or an attor e ore commencingwork or repe di our Notice of Commen ment.
r`
Sig6atur weer/Lessee/Contractor as Agent for Owner Sign ure of Contractor/License Holder
/_/Z
STATE OF F O STATE OF FLO
COUNTY OF. COUNTY OF� _ _
-�-
Sworn or affirmed)and ubscribed before me of Swor o(or affirmed)and subscribed before me of
I Pre rs a o� Online Notarization Pre rice or. Online Notarization
this day of 20z f by this l�day of 2021 by
Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known O Produced Identification
Type of Identification Type of Identification
Pro uce a A Produced
TWA. .... - ItUh I., . (L
(Signature Notary of Fio (Signature Motary Pub of FloWynn en
366562 1 '
Comm.#GG GG366562
Commission No. `i` 'el, Pvn lRapt.30,2023 Commission No. �� a 0 2023
MW Thru Aaron Notaryonded ThPll Ann NO c t'{
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.