HomeMy WebLinkAboutWindow and Door Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/11/22 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: Windows and Door
PROPOSED IMPROVEMENT LOCATION:
Address: 3212 Memory Lane
Property Tax ID #: 2430-502-0038-000-3
Site Plan Name: Michael LaLota
Project Name: LaLota Windows and Door
Residential X
Lot No. 38
Block No.
DETAILED ❑ESCR4PTION OF WORK: —
Replacing 3 Windows and 1 Door with Impact Rated Products
Single Hung SH-5500 NOA# 20-0401.03 Mull Bar NOA#20-0406.03
French Door FD-5555 NOA# 20-0427.05
New Electrical Meter Second Electrical Meter_ (Affidavit required)
LO NSTRUCTION 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:
Cost of Construction: $ 12,930.00
OWNER/LESSEE:
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
CONTRACTOR:
Name —Michael LaLota _ _ Name: Michael O'Donnell
Address: 3212 Memory Lane Company: O'Donnell Contracting LLC
City: Fort Pierce State: FL Address: 1740 NW Federal Hwy
Zip Code: 34981 Fax: City: Stuart State: FL
Phone No. 772-828-8121 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 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
Name: _
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:
State
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable j 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 makes no representation that is pranting 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 Coup
y and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with le r or an attorney before commencing work or—r-ecording your Notice of Commencement,
Owner/
STATE OF FLORIDA
COUNTY OF Martin
ntractor as Agent for Owner
Sworil1, �r JfIr nd s ribed bef me of X Physical Presence or Online Notarization
this r day of 2Q�y
Michael O'Donnell
Name of person making statement.
Personally Known X OR Produced Identification
4pq o�Identification PRd.yc%d
(Fignatur�pf Notary Public- State of Florida)
J
Wynn Allyn
Commission No. (Seal)A
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REVIEWS FRONT ZONING
SUPERVISOR
PLANS VEGETATION
COUNTER REVIEW
REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
SEA TURTLE MANGROVE
REVIEW REVIEW