HomeMy WebLinkAboutBuilding Permit ApplicationAli APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/28/21 Permit Number:
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Building pp 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: 8946 Sandshot Court #4911
Property Tax ID #: 3327-502-0249-000-1
Site Plan Name: Bryan Hinman Shutters
Project Name: Shutters
DETAILED DESCRIPTION OF WORK:
Installinq 7 Accordion Shutters
ASSA Accordion Shutters Bertha HV1 1850.3
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
, (Affidavit required)
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4,522.00
OWNERAESSEE:
Sprinklers _ Generator
Sq. Ft. of First Floor:
Lot No._
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
Name Bryan Hinman
Address: 8946 Sandshot Court #4911
city: Port St. Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 954-599-5287 E-
mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: William H. Miller
Company: O'Donnell Contracting LLC
Address: 1740 NW Federal Hwy
City: Stuart State: _FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
E-Mail odonnellpermitting gmail.com
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.
SUPPLE'MENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY:
Name: _
Address:
City:
Zip:
Phon
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City: _
Zip: Phone:
State:
X Not Applicable
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 toobtain 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 ranting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners ssociat,
on 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.
Luci County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wit lender n attorneybefore commencin rk or recording our Notice of Commencement.
atu,rd6f-E*ner/ Lesse6/Coatwfor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this28_bday of October , zo 21 by
William H. Miller
Name of person making statement.
Personally Known X OR Produced Identification
Type ❑Qdentification Produced
(Signature 6ANotary Public- State of Florida)
Commission No, (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Wynn Allen
AM Comm.11306562
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SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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