HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/22/21 Permit Number:
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
PROPOSE❑ IMPROVEMENT LOCATION: WW
Address: 9310 Briarcliff Trace
Property Tax ID #: 3322-801-0037-000-5 Briarcliff at PGA Village Lot No.32
Site Plan Name: Edwin Schaffner & Jean Quinn Block No.
Project Name: Schaffner & Quinn Shutters
DETAILED DESCRIPTION OF WORIt: ~
Installing 9 Accordion Shutters
Bertha HV1 Accordion Shutters 1850.3
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 _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator ` Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 7,624.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Edwin Schaffner III & Jean Quinn Name: Michael O'Donnell
Address:9310 Briarcliff Trace Company: O'Donnell Contracting LLC
City: Port St. Lucie, FL State: Address:1740 NW Federal Hwy
Zip Code: 34986 Fax: City: Stuart State: FL
Phone No.772-429-4684 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY: x Not Applicable
Name:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
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 must be recorded in the public records of St.
Lucie Count-4 aggrposted on thejobsite before the first inspection. If you Intend to obtain financing, consult
with lftno& 9Ltn attar- befa omrr11Z�ncing work or recordil our Nice of C�n nencement.
re of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLCURI
COUNTY OF
5wor ❑ (or affirmed) and subscribed before me of
Ph sical Pres nee or Online Notarization
this day of , 2024 by
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Name of person mA7®R
ent.
Personally KnownProduced Identification
Type of Identification
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Commission No.
of Flonn Allen
Cop& GG366562
_Expires: Sept. 30, 2023
natu fe_of Contractor/ License Holder
STATE OF FLORI
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COUNTY OF
Sworn tp4or affirmed) and subscribed before me of
ical Prese ce or Online Notarization
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Name of person making/statement.
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Type of Identification
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(Signatur f Notary Public- f FloridWynn Allen
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Commission No. ��Sept. 30, 2023
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