HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/19/21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
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: 6907 Citrus Park BLVD
Property Tax ID #: 1301-611-0019-000-9
Site Plan Name: Resident
Project Name: Resident Windows and Door
DETAILED DESCRIPTION OF WORK:
Replacing 11 Windows and 2 Doors with Impact Rated Products
Residential X
Lot No. 19
Block No. 101_
Mull Bar NOA# 20-0406.03
Single Hun SH-5500 NOA# 20-0401.03
Sliding Glass Door NOA# 21-0205.03 NI.Qoor FI # 15210.1
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
_ Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Cost of Construction: $ 7 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name esident Name: Michael O'Donnell
Address: 6907 Citrus Park BLVD Company: O'Donnell Contracting LLC
City: Fort Pierce State: FL Address: 1740 NW Federal Hwy
Zip Code: 34951 Fax: City: Stuart State: FL
Phone No. 772-579-0340 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 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: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name: _
Address: Address:
City: State: City: State:
Zip: Phone ]ip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: 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 holderto 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 and poste n the jobsite before the first inspection. If you intend to obtain financing, consult
with lend r an attptf(ev before commencing work or recording our Notice of Commencement
e
Signature of Owner/ Lessee/Contractor as Agent
for Owner
STATE OF FLORIDA
COUNTY OF Martin
Swor•�ar affirmed] n subscribed before me of %X
this day. iL
Physical Presence or Online
Notarization
of 2O�,by
Michael O'Donnell
Name of person making statement.
Per onally Known X OR Produced Identification
Typ f entification Prod
(Si ature of' otary Public- State of Florida)
�n ��n
Commission ' a. Seal
--- (Seal)
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REVIEWS FRONT ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE MANGROVE
COUNTER REVIEW
REVIEW
REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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