HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/20/21 Permit Number:
1c7: Lco(-71.
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
PROPOSED IMPROVEMENT LOCATION:
Address: 1809 Hazelwood Drive
Property Tax ID #: 2433-502-0028-000-9 Estates of Longwood Lot No.28
Site Plan Name: Scotto Windows Block No.
Project Name: Joseph & Robin Scotto
DETAILED DESCRIPTION OF WORT{:
Replacing 10 Windows with Impact Rated Products
Single Hung SH5500 NOA# 20-0401.03
Mull Bar Mullions NOA# 20-0406.03
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: $ 11,834.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJoesph Scotto Name: Michael O'Donnell
Address:1809 Hazelwood Drive Company -O'Donnell Contracting LLC
City: Fort Pierce FL State: Address:1740 NW Federal Hwy
Zip Code: 34982 Fax: City: Stuart State: FL
Phone No. 772-971-6522 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 CRC1 331273
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: -,A_ Not Applicable
Name:_
Address:
City:
Zip:
Pho
State:
FEE SIMPLE TITLEHOLDER: 6,, Not Applicable
Name:
Addres
City:_
Zip:
Phone:
MORTGAGE COMPANY: X2Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phon
of 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 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: n,� NER: Your failure to Record a Notice of Commencememay result in paying twice for
improvem6y{ts to your property. A Notice of Commencement m st be rec rded in the public records of St.
Lucie C 61 an osted on the jobsite before the first inspectl n. If you�end to obtain financing, consult
with 1+� er or attorneybefore commencing —work or record nR vour l otice of Commencement.
of Owner/ Lessee/t-d-n—tractor as Agent for Owner
STATE OF FLORIfn (L11k'4jj'2
COUNTY OF
Swor o (or affirmed) and subscribed before me of
P Pres nce cK Online Notarization
this da of 202i by
Name of person mak=OR
Oj
Personally Known roduced Identification
Ty e of Identification
Pr c d
1, ' 4 M&A
( gn toetf Notar •Publ:� Flor'r6Mynn Allen
Commission No. _ = m.#GG366562^
E�
, . PHS Sept. 30, 202.
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
nature of Contractor/License Holder
STATE OF FLORI
COUNTY OF. _ UUi�
Sworn (or affirmed) and subscribed before me of
Pre nce r Online N arization
this day of , 202 by
� 1
Name of person making state
Personally Known O Produced Identification
Type of Identification
Produced !1 . ■
(SignaturTof'll{,+btary Pu�i$ & of lrl*nn fallen
Commission No. _ ' co�% ,PG366562
Expires: pt. 30, 2023
SUPERVISOR I PLANS VEGETATION SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW