HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ 3/29/22 Permit Number:
9V L� I ��L
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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: Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 9529 Avenel Lane
Property Tax ID #: 3322-502-0009-000-2
Site Plan Name: Don Roberts
Project Name: Roberts Shutters
[ELA:IL:ID7 DESCRIPTION OF WORK:
-
Installing 10 Accordion Shutters
ASSA Accordion Shutters Bertha HV1
1850.3
Residential X
Lot No. 3
Block No.
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: $ 7,130.00 Utilities: _ Sewer _ Septic Building Height:
OWN ER/LESSEE: CONTRACTOR: t
Name Dan Roberts
Address: 9529 Avenel Lane
City: Port St. Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 516-860-9300 E_
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Michael O'Donnell
Company: O'Donnell Contracting LLC
Address: 1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
E-Mail odonnellpermitting@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
Name: _
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State
X Not Applicable
MORTGAGE COMPANY:
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 bulld 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 reviewyour 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 Count 0 posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with len an attnrniqyAareef re commencing work or recording-► our Notice of Commencement.
Signature of Owner/ Lessee/CortflaCtor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Martin
Swor o (or affix d) and subscribed before me of X Physical Presence or Online Notarization
ti day of 20L.by
Michael O'Donnell
Name of person making statement.
Personally Known X OR Produced Identification
Typi of Identification ProducAd
(Signature oftary Public -State of Florida]
u ' I Wynn Allen
Commission No. (Seal) �. C4iniit.#GG3B$562
. Expires: ►Sept. 30, 2023
.•I Bonded Thru Aaron notary
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
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SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE
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