HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1,—�7 (0
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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 Residential ✓
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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PROPOSED IMPROVEMENT LfJCATIQN
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Address: 3gOq &nJoa p pLe _11c, r� 9 LLLc,Ee �
Legal Description: -kyannal huh nlU " �ah&S *V-tP- lio�.L Z/j Lo-JL fl�
Property Tax ID#: 5 -10 5— 50 -(OC2 O `� Lot No. )`�
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: �. Left Side:
pETAILEO DESCRIP`fION OF 11ti/ORK
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�n5k�11 ske�l s-1 (-(Y) �)anzis 0n (IU) open 1rLgS
CONSTRUCTIQN ,INEQRMATI,ON
Additional work to b inclert his permit-c ec "a py:
HVAC Gas Tank ❑Gas Piping I VJ Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator Roof
'Total Sq. Ft of Construction: SFt. of First Floor:
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Cost of Construction:$ � j-I Utilities: _Sewer Septic Building Height:
01NNER/LESSEE CONTR`ACT`OR
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Name `- e,t.e-n. F Name: Michael ODonnell
Address: 3qo q C V)O.nn�,P__ 'Dr` Company: ODonnell Contracting LLC
City: 1Pi c+ Sk [_uct c State: T74- Address: 2125 SW Hayworth Ave
Zip Code: 3 4CI Fax: City: Port St Lucie State:FL
Phone No. `779-3`33 LkQ85 Zip Code: 34953 Fax:
E-Mail: Phone No. 772-408-0200
Fill in fee simple Title Holder on next page (if different E-Mail: rcodonnell311@gmail.com
from the Owner listed above) State or County License: 2M551 ca-C-133 f273
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
UPPLE !IENTAL CON5TRUCTIOIU�LIEN LAW INI=ORMATIC7N` s
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
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 thepermit 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 our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA -
COUNTY OF Sk �uc COUNTY OF Lu r
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_5 day of Oty)J 20 15 by this day of Cj b e.r 20 15 by
(Name of person a knowledging) (Name of person ackn ledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida )
Personally Known V/OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
GALE FULLER
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MY COMMISSION#FF064558 •€ MY COMMISSION#FF064558
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Revised 07/15/20M`••,reoF•f'' EXPIRES October 20,2017 tr4., ;0
••• � EXPIRES October 20,2017
407 398-0153 Fforidallo arvServicLp rM
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS