HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/10/22 Permit Number:
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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
PERMIT APPLICATION FOR: Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 9207 Avenel Lane
Residential X
Property Tax ID #: 3322-502-0030-000-8 Lot No. 24
Site Plan Name: Sharron Hearne Block No. _
Project Name: Hearne Accordions
DETAILED DESCRIPTION OF WORK:
Installing 3 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 _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 9,030.00 Utilities: _ Sewer _ Septic Building Height:
❑WNERAESSEE: CONTRACTOR:
Name Sharron Hearne Name: Michael O'Donnell
Address: 9207 Avenel Lane Company: O'Donnell Contr icting LLC_
City: port St I unie State: FL Address: 1740 NW Federal Hwy
Zip Code: _34986 Fax: City: Stuart State: FL
Phone No. 540-343-6478 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 omail.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 Zip: 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 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 rev�ew 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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult
voth lender or an attorney before commencing work or recording our Notice of Commencement.
ignature of Owner/ Lessee/Contractor 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
this 10 day of January 2022 by
Michael O'Donnell
Name of person making statement.
Perso ally nown X OR Produced Identification
Type f e ification Produ
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(Signature of N ary Pu iC- State of Florida)
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Commission No. (seal) � 'W
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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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