HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-14-21 Permit Number:
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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 CBDG Funding
PERMIT APPLICATION FOR:
Windows and Door
PROPOSED IMPROVEMENT LOCATION:
Address: 9310 Briarcliff Trace v
Property Tax ID #: 3322-801-0037-000-5 Briarcliff at PGA Village Lot No. 32
Site Plan Name: Edwin Schaffner & Jean Quinn Block No. '
Project Name: Schaffner & Quinn Windows and Door
[❑:,T— AILED DESCRIPTION OF WORK:
Replacing 17 Windows and 1 Door with Impact Rated Products
Single Hung SH-5500 NOA# 20-0401.03 Architectural Windows PW-5520 NOA# 20-0401.16
French Door FD-5555 NOA# 20-0427.05 Mull Bar NOA# 20-0406.03
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION, INFORMATION: J
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: $ 35,508.00 Utilities: _ Sewer _ Septic Building Height:
❑WNERAESSEE: CONTRACTOR:' -
Name Edwin Schaffner & Jean Quinn
Name: Michael O'Donnell
Address: 9310 Briarcliff Trace
Company: O'Donnell Contracting LLC
Address: 1740 NW Federal Hwy
City: Port St. Lucie State: FL
City: Stuart State: FL
Zip Code: 349886 Fax:
Phone No. 772-429-4684 E-
Zip Code: 34994 Fax:
Mail:
Phone No 772-408-0200
Fill in fee simple Title Holder on next page (if different
E-Mail odonnellpermitt_in,g amail.com
State or County License CRC1331273
from the Owner listed above)
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 INFORMATION;
UE5IGNER/ ENGINEER: X Not Applicable
Name:
Address:
City:
Phone
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:
State:
X Not Applicable
MORTGAGE COMPANY:
Name: _
Address:
City:
Zip: Phone:
X Not Applicable
State:
BONDING COMPANY: X Not Applicable
Name: _
Address:
City:
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 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
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 arid-p ted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lende -vlr an Xtorney before-mrpmencing work or reggp#ftEyour Notice of Commencement.
of
STATE OF FLORIDA
COUNTY OF Martin
as Agent for Owner
Swo �er affi.Ped) a sub :n ed befo
this day of 7p
Michael O'Donnell
Name of person making statement.
Known X
ntification I
Na ary
CommissloH No.
REVIEW
DATE
RECEIVED
DATE
COMPLETED
me of X Physical Presence or Online Notarization
by
duced Identification
blir- State of Flori
(Seal)
FRONT ZONING
COUNTER REVIEW
100
Wynn Allen
Comm.#GG366662
?t 30, 2023
&111 W Thru Am Notary
SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW j REVIEW