HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/6/21
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
Residential X
PERMIT APPLICATION FOR: Windows and Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 8801 One Putt Place
Property Tax ID tt: 3334-500-0093-000-8 At the Reserve Phase 1 Kingsmill Lot No. 82
Site Plan Name: Debra Hensen Block No.
Project Name: . Hansen Windowsand Doors
DETAILED DESCRIPTION OF WORK:7
Replacing 13 Windows and 2 Doors with Impact Rated Products - SGD 5570 NOA # 54-0205.03
Single Hun SH-5500 NOA# 20-0401.03 Architectural Windows PW-5520 NOA# 20-0401.16
Horizontal Roller HR-5510 NOA# 20-0406.01 Picture Window PW-5540 NOA#20-0401.07 Mull Bar
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required) NOA# 20-0406.03
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: $ 35,840.00
OWNER/LESSEE:
_ Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
CONTRACTOR:
Name Keith & Debra Hansen Name: Michael O'Donnell
Address: 8801 One Putt Place Company: O'Donnell Contracting LLC
city: Saint Lucie West State: FL Address: 1740 NW Federal Hwy
Zip Code: 34986 Fax: City: Stuart State: FL
Phone No. 772-485-4427 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.corn
from the Owner listed above) 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:
UtSIGNEK/ENGINEER: A Not Applicable
Name: _
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: _ Phone:
BONDING COMPANY:
Name: _
Address:
City:
Zip:
Phone:
X Not Applicable
State:
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 any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu t 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 pasted on the jobsite before the first inspection. if you intend to obtain financing, consult
with lend an att before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contr Ent for Owner
STATE OF FLORIDA
COUNTY OF Martin
Sworn tp (Of affir ed) nclsubs ribed before me of X Physical Presence or Online Notarization
this ay of 20;L\by
Michael O'Donnell
Name of person making statement.
Personally Known X OR Produced Identification
Tylpe ohIdentification Produced
(Signature oQNotary Pubiic- State of Florida)
Commission No. (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Wynn Allen
CommIGG388662
Bdllded Tlxtl Aso 1'�Y
SUPERVISOR PLANS
REVIEW REVIEW
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW