HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/18/21 Permit Number:
`Z,
r o,
DOW
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:ACcordion Shutters
PROPOSED IMPROVEMENT LOCATION:
_
Address: 5503 Deleon Ave
Property Tax ID #: 1301-614-0126-000-1 Lakewood Park Unit 12 Lot No.8
Site Plan Name: Schulz & Dougherty Shutters Block No. 161
Project Name: Schulz & Dougherty Shutters
DETAILE❑ DESCRIPTION OF WORK:
Installing 2 Accordion Shutters
Bertha HV Accordion Shutter 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: $ 2,239.00 Utilities: —Sewer —Septic Building Height:
❑WNER/LESSEE: CONTRACTOR.
Name Carol Schulz & Douglas Dougherty Name: Michael O'Donnell
Address:5503 Deleon Ave Company: O'Donnell Contracting LLC
City: Fort Pierce, FL State: Address:1740 NW Federal Hwy
Zip Code: 34951 Fax: City: Stuart State: FL
Phone No. 772-418-8316 Zip Code: 34994 Fax:
E-Mail: I 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.
SUPPLEMEN-rAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _VNot Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ of 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 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 youji!jttad to obtain financing, consult
with lender or an,3ftrnev before commerneing work or recording ou o e of mmencement.
S' atur�ofownerl LesseejCon or as Agent for Owner Signature of Contractor/ License Holder
STATE OF FLO p
COUNTY
Swo o ( r affirmed) and subscribed before me of
rd
Pre ce or Online Notarization
thisy of2021 by
Name of person making statement.
Personally Known — OR Produced Identification
Type of Identification
Pr �ed
(Signatur of Notary Pub of FloCifJ�� Ali@n
w►� nn
Commission No. C0000GG366562
Expires: Sept. 30, 2023
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLO A (
COUNTY OF
Sworn r affirmed) and subscribed before me of
ai Pre rrce or nline Notarization
this day of 2024 by
Name of person making sta�ef Tent.
Personally Known V OR Produced Identification
Type of Identification
Produced -,
(An''6tur of Notary P State of r, Allen
Commission No. " '� % COMM-665fi2
_ pores: beep 0, 2023
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FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE
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