HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: IZ• ) `'1 Permit Number:
W" ,
RECEIVED
Building Permit Application DEC 0.2 2015
Planning and Development Services
PERMITTING
Building and Code Regulation Division '
St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PO�C?SED IIUIPR011EMENT LOCATION s
fi�
4
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Address: 10197 S Indian River Dr
Legal Description: 29 36 41 W 360 FT OF N 123.26 FTOF S 606.02 FT LYG E OF ANS CONTIGUOUS TO ELY R/W FEC RR
LESS BEG AT PT ON W BANK OF IND RIV 356AFT N OF S LI GOVT LOT 1, TH S 89 DEG 30 MIN W 350 FT
Property Tax ID#: 3529-233-0002-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DIrTAILID DEIIPTION X01= UIIC)RK A , F
x x. C M1 a &
Replace (2) windows size-for-size with impact rated windows
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x Ct�NSTRUCTI:f �I INFORMATION s r r -� t _ T
Additional work toe performed uncler this permit—check a appy:
11HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric E] PlumbingSprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 6670 Utilities: Sewer F]Septic Building Height:
Name Michael&Kendra Penell Name: Michael ODonnell
Address:2531 S Ocean Blvd#8 Company: ODonnell Impact Windows&Storm Protection
City: Boca Raton State:FL Address: 6402 SE Federal Hwy
Zip Code: 33432 Fax- City: Stuart State:FL
Phone No.954-856-6222 Zip Code: 34997 Fax:
E-Mail: Phone No. 772-408-0200
Fill in fee simple Title Holder on next page(if different E-Mail: rcodonnel13ll@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.
51JPLEiVIENTAL CONSTRUCTION LIEN�LAW iNiURMATIC7N ry�
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 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 our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License of der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sf LU (,I./ COUNTY OF st b-Lir i-e—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day ofV{yY7l; r 20]-
5-by this "7 day of VDV( v)q h T,20 by
Ml &a d Q %I twine I / ml t'l a1✓I D 'I c)m1f,l f
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida (Signature of Notary Pu Ac-Stat -Qf-Flarida
'Pr aU... F R +1paY p�.•w
Personally Known a OR�rodu n�ti c��aii' Personally Known �0 r u eAfi , FULLER
MY
Type of Identification;.,,* . . MY COMMISSION#FFO Type of Identification Pr '. MISSION° oEXPIRESOctober 20,2017 'Foac o Commission No. (407)ase-.0153 Florid i service.com Commission No. (4071 398.0153 FI arySe
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS