HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/21/21 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
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: 12903 NW Harbour Rid e BLVD
Property Tax ID #: 4426-815-0008-000-8 _ _ Lot No,
Site Plan Name: Erroll Stafford Block No.
Project Name: Stafford Windows and Doors
DETAILED DESCRIPTION OF VIlORIt:
Replacing 9 Windows and 2 Doors with Impact Rated Products
Single Hun SH-5500 NOA# 20-0401.03 Mull Bar NOA# 20-0406.03
Sliding Glass Door NOA# 21-0205.03 Picture Window PW-5520 NOA# 20-0401.16
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: $ 29,903.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Erroll Stafford Name: Michael O'Donnell
Address: 12903 NW Harbour Ridge Blvd_ Company: O'Donnell Contracting LLC
City: Palm City State: FL Address: 1740 NW Federal Hwy
Zip Code: 34990 Fax: _ City: Stuart State: FL
Phone No. 772-344-2370 E, Zip Code: 34994 Fax:
Mail:. Phone No 772-408-0200
Fill in fee simple Title Holder on next page (if different E-Mail odonniellpermitting 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
I 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:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
VYV"Ln/ %.u" i mA%l I UK ANIUVl I: 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 consult with your Homeowners Association and reviewyour 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
with lender or aq.Aq@fney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/C ractor nt for Owner
STATE OF FLORIDA
COUNTY OF Martin
Swor, affir cl ubs ribed before me of X Physical Presence or Online Notarization
thi day of , 20cP-1 by
Michael O'Donnell
Name of person making statement.
Per ❑nally Known X OR Produced Identification
Typ'ty lil�ntification Produced
(Signature of
Commission No.
REVIEWS
RECEIVED
DATE
COMPLETED
ev
ry Public- State of Florida)
(Seal)
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FRONT ZONING I SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW
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