HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-20-21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FORMindows and Doors
PROPOSED IMPROVQ0ENT LOCATION:
Address: 101 Riverview Drive
Property Tax ID #: 4504-601-0029-000-3 Top of Walton S/D
Site Plan Name: Susan Angelo -Walker
Project Name: Angelo -Walker Windows and Doors
DETAILED ❑ESCRIPTION OF WORK:
Replacing 7 Windows and 2 Doors with Impact Rated Products
Residential X
Single Hung SH5500 NOA# 20-0401.03 Horizontal Roller HR5510 NOA# 20-0406.01
French Door FD5555 NOA# 20-0427.05
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATI=ON:
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: $ 15,351.00
OWNER/LESSEE:
Generator
Sq. Ft. of First Floor:
Lot No.29
Block No.
Windows/Doors — Pond
Roof Pitch
Utilities: - -_ Sewer _ Septic Building Height:
Name Susan Angelo -Walker
Address:101 Riverview Drive
City: Jensen Beach, FL State:
Zip Code: 34957 Fax:
Phone No.772-919-5967
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-Mail odonnellpermitting@gmail.com
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.
State: FL
SUPPLEMENTAL.CONSTRUCTI N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY
Name:
Name:
Address:
Address:
City:
State:
City:
Zip: Phone
j Zip:
Phone:
Not Applicable
State:
FEE SIMPLE TITLE HOLDER: �f 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 result in paying twice for
improvements to your pro4agity. A Notice of Commencement must be recorded in the public records of St.
Lucie County and p❑ the jobsit fore the first inspection. If you intend tqabtain financing, consult
with lender or gj. tar before vumencing work or recording youur Noti ommencempnt.
Signature of Owner/
ntractor as Agent for Owner
STATE OF F€.
COUNTY OF
Sworn { r affirmed) and subscribed before me of
' I Pr nce r nline N tarization
this da of inl by
i
N me of person makIng statement.
Personally Known _u OR Produced Identification
Type of Identification
(Signature f Notary Pu5Iim1 f of Florwynn ► lleT1
�= CA
m OGG366562
Commission No. sic'�ept 30, 2023
`''• �.. �E.., Banded Thru Aaron Notary
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev75767i9—
"re of Contractor/License Holder
t
STATE OF FL
COUNTY OF
Sworn (or affirmed) and subscribed before me of
Wr
P nce or Online Notarization
thisay f 2021 by
Name of person making s�OR
t.
Personally Known duced Identification
Type of Identification
Produced
— I i�� Q-411
(Signature Notary Public- State of Florida )
OF.`0. Wynn Allen
Commission No. _ '� GomiM366562
Expires: Sept. 30, 2023
SUPERVISOR PLANS VEGETATIOff""] SEATURTLE MANGROVE
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