HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/20/21 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
PROPOSED IMPROVEMENT LOCATION:
Address: 8949 Champions Way
Property Tax ID#: 3334-501-0038-000-8 Lakes at PGA Village Lot No.24
Site Plan Name: Holfelder Windows Block No. A
Project Name: Al Holfelder
DETAILED DESCRIPTION OF WORK: 1
Replacing 6 Windows with Impact Rated Products
Single Hung SH5500 NOA#20-0401.03
Architectural PW5520 NOA#20-0401.16 Mull Bar 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: $ 8,025.00 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Alfred Holfelder Name:Michael O'Donnell
Address:8949 Champions Way 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.772-464-4691 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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: , lot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: of Applicable BONDING COMPANY: 6^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,byfaws qr 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
imVeo
me is to your property. A Notice of Commencement mus a recorded in the public records of St,
Lucu and posted on the jobsite before the first inspectio you in d to obtain financing, consult
wit or an attorney before commencing work or recorWyour Nqfice of Co encement.
Si tore❑ wner/ Lessee/Contractor as Agent for Owner ignature of Contractor/License Holder
STATE OF FLO STATE OF FIL
COUNTY OF lft� COUNTY OF I -L �
Sw to or affirmed)and subscribed before me of Swor irmed) nd subscribed before me of
al Pre n or Online Notarization P i al es n r Online Notarization
thi day of 202T by this day of 2024 by
J� 1
Name❑ person mak�7OR
Brit. Name of person making s�OR
t.
Personally Known Produced Identification Personally Known duced Identification
Type of Identification Type of Identification
Pro Produ
(Signatur gotbry Puksl{, FloridWynn Tir> n (signature o otary P. a,11 1 te of FrI
�'--- J9.1,%pt.
#GG366562 � Comm #G 366562
Commission No. = Commission No. =� � 2023
30,202 Expires:�f ti.30,
Bonded Thru Aaron Nab ,` . .•�,= Banded TIru Aaron Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.