HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/3/22 Permit Number.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Windows and Doors
Residential X
I PROPOSED IMPROVEMENT. LOCATION:
Address: 137 Dominion Court
Property Tax ID #: 1414-701-0116-000-2 Lot No. C
Site Plan Name: Phil D v's-&-Nancy Boggs Block No. 13
Project Name: _ Davis & Boggs Windows and Doors
DETAILED DESCRIPTION OF WORK:
Replacinn 29 Windows and 3 Doors with Impact Rated Products -
Double Windows - DH5560 NOA# 20-0401.06 / Single Hung - SH5500 NOA# 20-0401.06 / Mull Bar NOA# 20-0406,03
Horizontal Roller HR-5510 NOA# 20-0406,01 / Architectural Window AR5520 NOA# 20-0406.01 / Sliding Glass Door SGD5570 NOAX 21-0205.03
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: _
Cost of Construction: $ 65,991.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Phil Davis
Name: Michael O'Donnell
Address: 137 Dominion Court
City: Fort Pierce, State: FL
Zip Code: 34949 Fax:
Phone No. 410-446-1194 E-
Company: O'Donnell Contracting LLC
Address: 1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail oclonniellpermitting gmail.com
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:
Name:
Address:
City:
Zip; Phone;
X Not Applicable
BONDING COMPANY: X Not Applicable
Name: _
Address:
City:
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 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 an attornev before commencing work or recording vour Notice of Commencement.
azure of essee/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 day of , 20_ by
Michael O'Donnell
Name of person making statement.
Personally Known X OR Produced Identification
Typ ❑ I entiflcation Produ ed
(Sig ature of tart' Public- State of Florida)
�
Wynn Allen
Commission No. (Seal) �
Gomm, # GG386562
Fires• 8* 30, 2M
Bonded 7WASM Nagy
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
1
RECEIVED
DATE
COMPLETED
Rev 5/20/21