HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONz
ALL APPLICABL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �t Permit Number:
SCANNED
Building Permit Application BY
Planning and Development Services St. Lu
Building and Code Regulation Division C1e Counts
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
Address: 5059 N A1A Apt B 605, Fort Pierce, FL 34949
Legal Description: BRYN MAWR OCEAN TOWERS BUILDING B UNIT 605
Property Tax ID #: 1414-601-0085-000-8
Site Plan Name:
Project Name: EDWARD J. O'CONNELL
Setbacks Front Back: Right Side: Left Side:
INSTALL 2 IMPACT WINDOWS, 1 IMPACT SLIDING GLASS DOOR
Lot No.
Block No.
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�HVAC
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Gas Tank ❑Gas
apply:
Piping QWindows/Doors
_Shutters
Electric 0
Plumbing []Sprinklers
Generator 0 Roof
Total Sq. It of Construction:
Cost of Construction: $ 9,895.00
S Ft. of First Floor: _
Utilities:l Sewer ElSeptic
Building Height:
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'CONTRACTOR: H
Name Edward J. O'Connell
Name: Alejandro Ondarza
Address:5059 N Al Apt B 605
Company: Storm Guard Impact Window 8 Door
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 772-468-7803
Address: 3600 S. Congress Ave., Suite A
City: Boynton Beach State: FL
Zip Code: 33426 Fax: 561-249-2302
Phone No. 561-594-1540
E-Mail: ahejoconnell@aol.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: zac@stophurricanes.com
State or County License: CGC1523239
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
Name:
X Not Applicable
MORTGAGE COMPANY: x
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
BONDING COMPANY: .
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
of Owner/
STATE OF FLORI STATE OF FLORIA�
COUNTY OF } C11 im rl' a L 1 COUNTY OF "F�i-ld'1�1 R�J_)
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi day of -Se 20 (�t1y this day of 212 20 by
(Name of person acknowledging) (Name of 0hrson acknowledging)
(Signature of Notary Public -State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced P11 Type of Identification Produced rhi
Commission No. ;�,w,;;•. - rrCC�7 Commission No. :q"t •... C OL A. Hai11 ORSLA
AROL YC. MMERSLA MY COMMISSION # FFS97717
Zt, _ 'tom; My COMMISSION # FFS97717 I
Revised
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SUPERVISOR
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VEGETATION
SEA TURTLE
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COUNTER
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