HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/8/22 Permit Number:
�O 1
n a Y Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
Windows
PROPOSED IMPROVEMENT LOCATION:
Address: 8916 Champions Way
Property Tax ID #: 3334-501-0066-000-3 Lot No. 52
Site Plan Name: Stanley & Darlene Pry Block
No. A
Project Name: Pry Windows
[DETAILED DESCRIPTION OF WORK:
—
Replacing 3 Windows with Impact Rated Products
Architectural Window AR5520 NOA# 20-0406.01 Mull Bar NOA# 20-0406.03
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: $ 7,005.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR;
_
Name Stanle & Darlene Pry
Name: Michael O'Donnell
Address: 8916 Champions Way
Company: O'Donnell Contractin LLC
City: Port St. Lucie State: fj_
Address: 1.740 NW Federal Hwy
City: Stuart
State: FL
Zip Code: 34986 Fax:
Phone No.561-373-5233 E-
Zip Code: 34994 Fax:
Mail:
Phone No 772-408-0200
Fill in fee simple Title Holder on next page (if different
E-Mail_ ❑donnellpermitting gmail.com
State or County License CRC1331273
is required.
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement
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:
Name:_
Address:
City:
Zip:
Phone
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
te:
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 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
improveme is to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Co ty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with der or an attp;Liev before commencing work or r air Notice of Commencement.
Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Martin
Sworn
or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this day of Cxti 'L , 20,
Michael O'Donnell
Name of person making statement.
Known X OR Produced Identification
entification Produced
ature of
ry Public- State of Florida)
Commission No. (Seal) `���
Wynn Aden
Comm IGG366562
boos: Sept. 30, 2023
rfBornied'I'iu Awn W
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
SUPERVISREVIEWOR I REV EW I PNS VEGETATIREVIEWON I SEATURTREV EWLE M EVIEWVE