HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 711/21 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:WIndows, Door and Accordion Shutters
PROPOSED IMPROVEMENT LOCATIOl't
Address: 7674 Greenbrier Circle
Property Tax ID#: 3322-700-0042-000-3 Greenbrier Lot No.37
Site Plan Name: Joseph & Patricia Raffa Block No.
Project Name: Raffa
DETAILED DESCRIPTION OF WORK:
Replacing Windows, 1 Door and Installing 5 Accordion Shutters
Single Hung SH5500 NOA#20-0401.03,Architectural Window AR5520 NOA#20-0401.16,Accordion Shutters 1850.3 Bertha HV1
Horizontal Roller HR5510 NOA#20-0406.01, Sliding Glass Door SGD5570 NOA#20-0429.05, Mull Bar NOA#20-0406.03
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check alZhutters
ply:
`Mechanical _Gas Tank _Gas Piping _Windows/Doors _ Pond
Electric _Plumbing _Sprinklers —Generator Roof Pitch
Total Sq. Ft of Construction: T Sq. Ft. of First Floor:
Cost of Construction: $ 26,795.00 Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Patricia Raffa Name:Michael O'Donnell
Address:9635 Enclave Circle 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.772-595-2084 Zip Code: 34994 Fax:
E-Mail: Phone No772-408-0200
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 buifd 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
improve ents t your property. A Notice of Commencement must b recorded in the public records of St.
Lucie C ty d posted on the j site before the first inspecti❑ TIC in end to obtain financing, consult
with I er ran att me b e c encin work or recor ur N ice mmen ent.
gnature of ner/ see/Contractor as Agent for Owner Sign ure of on or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFMARTIN COUNTY OFMARTIN
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 1s day of July 202# by this isI day of July 2024 by
MICHAEL O'DONNELL MICHAEL O'DONNELL
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced P ❑d ced
xr, R 1L��
V'_ n
(Signat e of Notary Public-State of Florida) (Signatuki of NotarMA ,
ate oWyMn Allen
Commission No. �I�'I�= Wynn Allen Comrn.� 166562
Cam( 366562 Commission No. =ic pfrE5: 0.2023
Expires:Sept 30,2023
REVIEWS TFRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 516/20