HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/9/21 Permit Number:
r v L C-1 - -
U n 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
PRGPQ�,ED IMPROVEMENT LOCATION:
Address: 3707 Promenade Way
Property Tax ID #: 2433-502-0045-000-4
Site Plan Name: Steve Tierney
Project Name: Tierney Windows
DETAILED DESCRIPTION OF WORK:
Estates of Longwood
Replacing 7 Windows with Impact Rated Proudcts
Single Hung SH5500 NOA# 20-0401.03 Architectural Window AR5520 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
__ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 10,139.00
Generator
Sq. Ft. of First Floor:
Lot No.45
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
-- -
NameStephen Tierney III
Address:3707 Promenade Way
City: Fort Pierce, FL State:
Zip Code: 34982 Fax:
Phone No.772-465-4892
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Michael O'Donnell
Company: O'Donnell Contracting LLC
Address:1740 NW Federal Hwy
City: Stuart
Zip Code: 34994 Fax:
Phone N0772-408-0200
E-M ail odonnelIpermitting@gmail.com
State or County LicenseCRC1331273
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 CONSTRUCTID LIEN LAW INFORMATION:
DESIGNER/ENGINEER: T Not Applicable MORTGAGE COMPANY: ZNot Applicable
Name: Name:
Address: Address:
City: State: City: ,State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: 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, 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 resu)t in paying twice for
improvements to ur property. A Notice of Commencement must be �xrded in the public records of St.
Lucie County osted on the jobsite before the first inspection. If -intend t tain financing, consult
with lend n att before commencing work or recordin r Notice Czoommencement.
naturOwner/ Lessee/Contractor as Agent for Owner
STATE OF FL
COUNTY OF
Swor (or affirmed) and subscribed before me of
cal Pr nce or Online Notarization
this y of , 2021 by
Name of person ma
Personally Known I-'- OR Produced Identification
T pe A Identification
PI
d e\
(Signat r¢-of-Notury Public- State of Florida }'
JJ Wynn Allen
Commission No. Cp1!GG366562
Eli 1�:� .....::.= ._ es: Sept, 30, 2023
REVIEWS FRONT ZONING SUPERVIS
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ature of Contractor/License Holder
STATE OF FLORI
COUNTY OF.ti--
S or o (or affirmed) and subscribed before me of
a! Prenrice or Online Notarization
this day of O2021 by
Name of person making state
Personally Known OR Produced Identification
Type of Identification
Produced i II
(Signature of N' iRMSc- StatyiypHr A
Comm.#Gf 66562
Commission Nc '_ res; Sepf..1912023
Bonded Thlu Aaron No"
PLANS I VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW