HomeMy WebLinkAboutBuilding Permit Application with William MillerAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 0I [ 9/21 _ Permit Number:
P i` L A m 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: Window and Door
PROPOSED IMPROVEMENT LOCATION:
Address: 12456 Harbour Ridge Blvd #2-3
Property Tax ID #: 4426-510-0011-000-6 Lot No.
Site Plan Name: Robin Coogan Block No.
Project Name: —Coogan Windows and Doors
DETAILED DESCRIPTION OF WORK:
Replacing 6 Windows and 5 Doors with Impact Rated Products
Single Hun SH-5500 NOA# 20-0401.03 Mull Bar NOA# 20-0406.03
Slidin,q Glass Door NOA# 21-0205.03 French Door FD-5555 NOA# 20-0427.05
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: $ 54,190 00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: _ CONTRACTOR:
Name Robin Coo - an _ Name: William H. Miller
Address: 12456 H.arbour Ridge Blvd #2-3 Company: O'Donnell Contractin LLC
City: Palm City State: FL Address: 1740 NW Federal Hwy
Zip Code: 34990 Fax: City; Stuart State: FL
Phone No, 914-282-1137 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
It 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:
DESIGNE
Name:
Address:
City:
NGINEER
Zip; Pho
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
A Not Applicable
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
whlch conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohlbit 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: Y.w failure to Record a Notice of Commencement may result in paying twice for
improvemenour property. A Notice of Commencement must be recorded in the public records of St.
Lucie County �4�a'tor
�dbhe job ite before the first inspection. If you intend to obtain financing, consult
with I der f commencin work or recording your Notice of Commencement.
er/ Cessee/Contractor as or owner
STATE OF FLORIDA
COUNTY OF Martin
Swor lubs ribed bef me of %� Physical Presence or Online Notarization
this`day of } 2O1by
William H. Miller
Name of person making statement.
PersnakKnown X OR Produced Identification
Ty p [ pntification Pro e,4 st
(Siffnatur� f Notary —Public -State of Florida)
:ommissio No. (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Wynn Allen
i Comm.#GG366662
* ofEom: Sept 30, 2023
11 if L A" 1 NotafY
SUPERVISOR PLANS
_REVIEW I REVIEW
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW