HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/14/21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Windows
PROPOSED IMPROVEMENT LOCATION:
Address: 2552 NW Seagrass Drive 2A
Property Tax ID #: 4425-601-0026-000-0 Bayhead Village BLDG 4 Unit 2A
Lot No.
Site Plan Name: Cynthia Henderson Block No,
Project Name: Henderson Windows
DETAILED DESCRIPTION OF WORK:
Replacing 6 Windows with Impact Rated Products
Picture Window PW-5520 NOA# 20-0401.16 Awning Window AW5540 NOA# 20-0402.05
Mull Bar NOA#20-0406.03
New Electrical Meter Second Electrical Meter (Affidavit required)
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: $ 13,896.00
OWNER/LESSEE:.
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
CONTRACTOR:
NameC nthia Henderson Name: William H. Miller
Address: 2552 NW Seagrass Drive 2A Company: O'Donnell Contracting LLC _
City: _ Palm City State: FL Address: 1740 NW Federal Hwy
Zip Code: 34990 Fax: City: Stuart State. FL
Phone No. 772-336-7667 E- Zip Code: 34994 Fax:
Mail: Phone No 772-408-0200
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 CGC035934
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 INFCIRMATICIN:
UESIGNER/ENGINEER:
Name: _
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name: _
Address:
City:
Zip:
X Not Applicable
State:
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City; State
Zip: Phone:
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 representatlon that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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
X Not Applicable
Phone:
BONDING COMPANY: X Not Applicable
Name: _
Address:
City:
Zip:
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.
L cie Cou y and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
rt len or an attorneyXlore commencing work or recording -your Notice of Commencement.
of
STATE OF FLORIDA
ee/Contractor as Agent for Owner
COUNTY OF Martin
Swoedayaof.__'�t
r ffi ) d su s r'bed befa a me of X Physical Presence or Online Notarization
this 2i?� by
William H. Miller
Name of person making statement.
Known X OR Produced Identification
Ttification ProdApd
(Signatur of Notary Public -State of Florida)
mmis i Con No. (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
,ev 5120/21
Wynn Allen
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SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW