HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/19/21 _ 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 FORMindows and Door
PROPOSED IMPROVEMENT'LOCATION:
_ a _
Address: j'
Property Tax ID 4: 2436-233-0003-010-5
Site Plan Name: Jones
Project Name: Christopher Jones
LD(J ❑ESCRIPTiON OF WORK:
Replacing 2 Windows and 1 French Door with Impact Rated Products
Single Hung SH5500 NOA# 20-0401.03
French Door FD5555 NOA# 20-0427.05
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No,
Block No.
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: $ 4,646.00 Utilities: —Sewer _Septic
OWNER/LESSEE:
Name Christopher Jones
Address:4473 S Indian River Drive
City: Fort Pierce, FL State:
Zip Code: 34982 Fax:
Phone No.954-816-7828
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: Micheal O'Donnell
Company: O'Donnell Contracting LLC
Address:1740 NW Federal Hwy
City; Stuart
Zip Code: 34994 Fax:_
Phone N0772-408-0200
E-Mail odonnellpermitting@gmail.com
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 CONSTRUCTON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ,& Not Applicable
Name:
Address:
City:
Zip: Phone
State
FEE SIMPLE TITLEHOLDER: A Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
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 ppermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assoclation 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 County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lenojK or aQ�gtorney before commencing work or recordingp.:.rr Notice of Commencement.
Signature of Owner/
actor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLO A STATE OF FLO "
COUNTYOF COUNTY OF �h 4,
Sworn_�Wfor affirmed) and subscribed before me of
__L^ysiical Presence or Online Notarization
this day of 2020 by
W. (IV) LL hot"Aedk
Name of person making stat ent.
Personally Known OR Produced Identification
Type of Identification
Produced
Sworn 0 (or affirmed) and subscribed before me of
hysical Presence or Online Notarization
this day of 2020 by
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
(Signature q Notary Puu to of Fl An Allen (Signature @JNotarypubl�t�of FlorWynn Allen
Commission No. '-- Olaf g� iGG366562 Commission No. = co GG366562
Expires: pt. 30, 2023 s xplu pt..,,3,.0,, �2�00223�
'r�`, •'•... 1�� 17amri;lilLCl1.
1111 i:L:L:I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED _
DATE
COMPLETED
ect
BOARD OF - PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS COUNTY
o Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
3'
f l/e- Date:
Permit Number: Technician:
' .F 1�
w. i.
Application completely filled out with Notarized Signatures ............................
Sub Agreements with Notarized Signatures (prior to issuance) ..........................
Yes2 N/A
Owner / Builder Affidavit (signed in office) .................................................
Filled Land Affidavit (prior to issuance) .................................................. .
Yes
No
N/A
_
Yes
No
N/A
Yes
No
N/A
Recorded Warranty Deed, if applicable...................................................... Y _ / es No N A
Recorded Notice of Commencement (prior to issuance or inspection)................, Yes o _ N/A
Utility Agreement or Payment Receipt (prior to issuance).................................Yes No N/A
Vegetation Removal Application with copy of survey ............ . ........................ Yes No __.. N/A_
Plans. Ca),culatijIns & Atta cents (3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ...........................
Yes —No
—N/A.
Truss Plans reviewed and approved by Engineer / Architect ............................
Yes
No
N/
Landscaping and Parking plan (under 6,000 sgft).........................................
Yes
—No
— N/A
Approved Site Plans .............................................. . . . ..........................
Yes —No
—N/A.
Sealed Survey with Dimensions, Finished floor ........................... . . . . ............
Yes —No
—N/A.
Elevations and Setbacks.............................................................. Yes No NI
Plot plan with Setbacks.............................................................. Yes No NY