HomeMy WebLinkAboutShutter Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-8-22 Permit Number:
��o �LiGl1L
D
-� 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: Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 31 Lake Vista Trail #206
Property Tax ID #: 3422-500-0433-000-4
Site Plan Name: Dan & Mary Hammond
Lot No.
Block No.
Project Name: Hammond Shutters
DETAILED DESCRIPTION OF WORK:
Installing 4 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 _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1,798.00
Generator
Sq. Ft. of First Floor:
Windows/Doors — Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:— CONTRACTOR:
Name Dan & Mary Hammond Name: William H. Miller
Address: 31 Lake Vista Trail #206 Company: O'Donnell Contracting LLC
City: Port St. Lucie State: FL Address: 1740 NW Federal Hwy
Zip Code: 34gr.2 Fax: City: Stuart State: FL
Phone No. 772-971-8220 E- Zip Code: 34994 Fax: -
Mail: Phone No 772-408-0200
Fill in fee simple Title Holder on next page (if different E-Mail odonnellpermittingngmail.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.
SUPPLE11 ENTAL CONSTRUCTION LIEN LAW tNf0RMATION:
DESIGNER/ENGINEER
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone; _
X Not Applica
State
X Not Applicable
MORTGAGE COMPANY:
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 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 masses no representation that is granting a permit will:authorize the permit holderto build the subject structure
which confllcts with an� applicable Homeowners.Rssociation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu t w th 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 pas ed on the jobsite before the first inspection. If you int .obtain financing, consult
wit len r apt rney before commencing work or record' otice of Commencement.
Signature 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 8th day of March 2022 by
William H. Miller
Name of person making statement.
n nn Allyn
Wyn
Personally Known X OR Produced Identification
, z Comm.#GG366562
Ty e of Identification P duced
G
E^ores: 30, 2023
Uh'61AA
' fr�iti ti� BDIxW ft AM NOt Fy
''
(Agnat of No ary Pu lic- State of Florida)
Commission No. (Seal)
F
-
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER I REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED