HomeMy WebLinkAboutAccordion Shutter Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/22/21
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:
Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 Twin Lakes Ter#203
Property Tax ID#: 1327-704-0081-000-9 Lakeshore Villa e of Meadowood Lot No-
Site Plan Name:_ShPrr1 Prince Block No.
Project Name: Prince Shutters
DETAILED DESCRIPTION OF WORK:
Installing 4 Accordion Shutters
ASSA Accordion Shutters Bertha HV1 1850.3
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 _Windows/Doors Pond
Electric _Plumbing _Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 6,284.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Sherry Prince Name: William H. Miller
Address: 3200 Twin Lakes Ter#203 Company: O'Donnell Contracting LLC
City: Fort Pierce State:fj_ Address: 1740 NW Federal Hwy
Zip Code: 34951 Fax: City: Stuart State: FL
Phone No.^772-539-2465 _ 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 INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone: _
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name:_ _ I 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 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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wifh le r or attorn t_y before commenci work or recording your Notice of Commencement.
Sig ure of Owner/Lessee on ractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Martin
Swo�tr affirm d) 'nd su scribed before me of X Physical Presence or Online Notarization
thisy of 20111 by
William H. Miller
Name of person making statement.
Personally Known X OR Produced Identification
T p o dentification P d Ed
( n ur Notary Public-State of Florida) �,
� Wynn AHeIn
Commission No. (Seal) Comm.103$8562
BOMW ThruAA=Nobly
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE - — ---- _
RECEIVED
DATE I Il
COMPLETED _