HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/3/21 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:ACcordIOCI Shutter
PROPOSED IMPROVEMENT LOCATION: _
Address: 14 Maya Way —
Property Tax ID #: 3426-500-0866-000-0 St. Lucie Gardens Lot No.
Site Plan Name: Payne Block No. 1 & 2
Project Name: Payne Shutter
`DETAILED DESCRIPTION OF WORK: -
Installing 1 Accordion Shutter
Accordion Shutter Bertha HV1 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: $ 455.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJeff Payne Name: Michael O'Donnell
Address:14 Maya Way Company: O'Donnell Contracting LLC
City: Port St. Lucie, FL State: Address:1740 NW Federal Hwy
Zip Code: 34952 Fax: City: Stuart State: FL
Phone No.954-980-9648 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 CONSTRUCT N Li.EN LAW INFORMATION:
DESIGNER/ENGINEER: `!�_FVot Applicable MORTGAGE COMPANY: c5--�lot Applicable
Name: Name:
Address: Address:
City: State City: State:
Zip: Phone_ . Zip: Phone:
FEE SIMPLE TITLE HOLDER:,iVot Applicable BONDING COMPANY: of App licable
Name:_
Address:
Name:
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, 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 p sted on the jobsite before the first jaspection. Ify6u intend to obtain financing, consult
with lendar-Orarf attorDeo5efore commendor recordingAur Notice of C mencement.
Signature oFOwner/ Lesse-e7Contractor as Agent for Owner '-egnature of Contractor/License Holder
STATE OF FL
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COUNTY F �f �
w to (or affirmed) and subscribed before me of
al Pres ce or nline Notarization
this ay of 202f by
Name of peirson making statWr ent.
Personally Known �OR Produced Identification
Type of Identification
Produc d
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(Si ature ota ,Publ c-` 1, of Fio ynn Allen
Commission No. �''Qmrp.#GG366562
.� Expires: Sept. 30, 2023
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
eve. 5/6/20
STATE OF FIL
COUNTY OF
Swor for affirms and subscribed before me of
l Pr k;h saes or DDline Notarization
thisy of 20211 by
afv� # T 7",
Name of person m=OR
Personally Knownduced Identification
Type of Identification
(Signature ofl�lotary
Commission No.
Of FlaWV7.1I Mlul I
Comm.#GG366562
ExpireMPL 30, 2023
Bonded Thru Aaron Notary
SUPERVISOR I PLANS VEGETATION I SEATURTLE MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW