HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-14-21
LL LL
O' ,
i_ t_. F2, ,
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
I PERMIT APPLICATION FOR: Windows, Door and Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 8271 Riviera
Residential X
Property Tax ID #: 3327-711-0032-000-9 At The Reserve Lot No. 25
Site Plan Name: John & Ma Piehler Block No. _
Project Name: Piehler Windows, Door and Accordion Shutters
DETAILED DESCRIPTION OF WORK:
Replacing 17 Windows, 1 Door with Impact Rated Products and Installinq 2 Accordion Shutters
Single Hun SH-5500 NOA# 20-0401.03 Architectural and Picture Window PW-5520 NOA# 20-0401 16
Sliding Glass Door SGD-5570 NOA# 21-0205.03 Mull Bar NOA# 20-0406.03 Bertha Shutters HV1 1850.3
New Electrical Meter _ Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
(Affidavit required)
Mechanical _ Gas Tank _ Gas Piping _X Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 31,1A0 00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
Name John & Mary Piehler
Address: 7 LaTour Manor
City: Fair )oft State: NY
Zip Code: 14450 Fax:
Phone No._ 585-4,55-30-5.9 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 State: FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
E-Mail Odonnellpermitting amail.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State:
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
X Not Applicable
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 an 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 and
9_ppsted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lendersat"a ttorne re commencing work or recording our Notice of Commencement.
re of
STATE OF FLORIDA
COUNTY OF Martin
r as Agent for Owner
Swor affirmed) a d sub cribed before me of X Physical Presence or Online Notarization
this e- day of zD by
Michael O'Donnell
Name of person making statement.
fly Known X OR Produced Identification
Identification Pr clka&
ic- State of Florida
Commission No. (Seal)
REVIEWS I FRONT ZONING
f COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED I
Wynn Allen
Comm.6 GG366562
Thmr
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW