HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/24/21 Permit Number:
U CL
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial f Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Accordion Shutl'erS
PROPOSED IMP80VEMENT LOCATION:
Address: 60 Mediterranean BLVD E Port St. Lucie, FL 34952
Property Tax ID#: 3426-500-0939-000-3 St. Lucie Gardens Lot No.60
Site Plan Name: Robert Brazeau Block No. 1&2
Project Name: Brazeau Accordion Shutters
FDETAILED DESCRIPTION OF WORIC:
Installing 3 Accordion Shutters
Bertha HV1 Accordion Shutters 1850.3
New Electrical Meter Second Electrical Meter
66STRUCTION 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 Construction: Sq. Ft. of First Floor.
Cost of Construction: $ 4,127.00 Utilities: _Sewer _Septic Building Height:
l OWNER/LESSEE: -- — CONTRACTOR:
Na[11e Rober Brazeau Name:Michael O'Donnell
Address:60 Mediterranean BLVD E Company:O'Donnell Contracting LLC
City: Port St. Lucie, FL State: Address:1740 NW Federal Hwy
Zip Code: 34952 Fax: T City: Stuart State:FL
Phone No.219-465-8814 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 CONSTRUCTIOIN LIEN LAW IN FOR MAT]
:
DESIGNER/ENGINEER: w 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 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 j�e recorded in the public records of St.
Lucie Covntg aqd posted on the jobsite before the first inspect'on. r you intend to obtain financing, consult
with lender an attorney_J3efore§ommencingwork or recor iri our N ` e of Co -ence nt.
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&nature of owne'rrtesse ontract-oFi?X"gen-t for Owner Sig ature o Contractor License Home r
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STATE OF FLORI STATE OF FLORI
COUNTY OFi _ COUNTY OF
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Sw to(or affirmed)and subscribed before me of Swor {or affirmed)and subscribed before me of
In ical Pre ce*or Online Notarization ►� P y ' , I Pre qr Online N tarization
this day of 2020 by this of 202� by
Wo1 �
Name of person making statement. Name of person making statement,
Personally Known ,--'OR Produced Identification Personally Known�y! OR Produced Identification
Type of Identification Type of Identification
4( g
d Produced
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of No P pn4fata a of °V nn Arlen [5ig ature❑ otary P�r r5 ate of F� Atlen
Commission No. _ ��**J,t, GG366562 Commission o. = = c0M 366562
Expi�s: ept,30,2023 - Expires'. 30,2023
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED `
ev. -