HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/17/22 Permit Number:
' ^ 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: 8320 Mulligan Circle #2112
Property Tax ID #: 3327-502-0026-000-2 Lot No.
Site Plan Name: —Joy Jacobs _ Block No.
Project Name: Jacobs Windows and Door
...................................... .............................
KTAI.LED ❑ESCRIPTION OF WORK:
Replacing 4 Windows and 1 Door with Impact Rated Products -
Single Hung SH5500 NOA# 20-0401.03 Horizontal Roller HR-5510 NOA# 20-0406.01
Mull Bar NOA# 20-0406.03 Sliding Glass Door SGD-5570 NOA# 21-0205.03
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: $ 9,920.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name _ Joy IR(-[)hs_ _ Name: William H. Miller
Address: 451 Ridge Pike Company: O'Donnell Contracting LLC
City: Lafayette Hill. State: PA Address: 1740 NW Federal Hwy
Zip Code: 19444 Fax: City: Stuart State: FL
Phone No. 215-768-8373 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
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 review your deed for any restrictlo.ns 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 Commenceme t must be recorded in the public records of St.
Luc! Count d p sted on the jobsite before the firs S ection. If you intend to obtain financing, consult
Wi lend r aWtorney,4gfore commencing woA or recording our Notice of Commencement.
rev 5T1� ..
5ignatu4Own e essee/
Cantractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Martin
Swor r affirms j and subscribed before me of X
Physical Presence or Online
Notarization
this X�day of V 20,�2by
Vllilliam H. Miller
Name of person making statement.
Pecs n Known X OR Produced Identification
Type ntification Produce
1bAV'1--
(Sig ature o otary Public -state of Florida)
Commission a. (Seal)
Wynn Allen
Carom, W3665fi2