HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 I
Date: 12 •7 `�� Permit Number:
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
Address: 8274 Sandpine Cir, Port St Lucie
Legal Description.. Lake Lucie Estates Plat No. One Lot 28
Property Tax ID#: 3426-703-0042-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
D �'AILED DECRIPT�OI"" C7 WORK
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Replace (4) windows with impact rated product and (7) windows with nonimpact rated product.
Existing aluminum storm panels to remain for storm protection.
CCNSTRUCTI{ N �NFQRATIQIV #y '`f a 3 f - f,ea w". q e
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Additionalwor to be nerformed under this permit—check allappy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 8061.00 Utilities:Cn Sewer 0 Septic Building Height:
OUIINER LESSEE � 3 ' CO}NTRACTrOR ,
Name Pauline Jones Name: Michael ODonnell
Address:8212 13th Home Dr Company: ODonnell Impact Windows&Storm Protection
City: Port St Lucie State:FL Address: 6402 SE Federal Hwy
Zip Code: 34952 Fax: City: Stuart State:FL
Phone No.772-812-4230 Zip Code: 34997 Fax: 888-833-0167
E-Mail: Phone No. 772-408-0200
Fill in fee simple Title Holder on next page(if different E-Mail: rcodonnell311@gmaii.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.
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Sl1PPlEM,A�NTAL CONSTRUCTION LIEN lAW INFQRMATION.
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 Contractor/License Hold6r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5f- LCCLI,' COUNTY OF --t Lt,CC.f E
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3a day of NOVUn l��,� 20 f 5 by this�(�day of �/�,C!'Y)k ,20 by
Q1 ('har,1 D '61)n01, MItfQGJ 6 '�)lj2nne ( �
(Name of person acknowledging) (Name of person acknowledging)
�4 ,,ia—
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
(PRY PUB'.. t•
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IZ92ilLTcftiy LER
Personally Known Personally Known r6duced
MY COMMISSION#FF064558
Type of Identification Pr d '. MY COMMISSION 4558
Type of Identificatio PGr. t € YpQ=
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`..F` o?.; EXPIRES October 20,2017
EXPIRES October 20,2017 oc „
Commission No. (407)398-0153 Fiori0gadiryService.com Commission NO. (407)396-0153 FI 6tatll aryService.com
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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INITIALS