HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST//BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - / cp Permit Number:
RECEIVED
Building Permit Application MAR 2 4 201
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 X
PERMIT APPLICATION FOR: Shutter
PRoaosEa I> PRouEMT�.ocATjnN � n
,.. ... F ,.... ..,.� s. . ...
Address: 8912 First Tee Rd, Port St Lucie
Legal Description. POD33 at the reserve phase 1 kings mill lot 63
Property Tax ID#: 3334-500-0074-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
zrifs
7 �3LED DESCRIPTiONt FWO'RK
Install (1) accordion shutter
CNST,RUCTl ?N INFOR�VlAT)C1N &�1"'k lk , x
Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping �_Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 664 Utilities:cnSewer Septic Building Height:
� ° a/ EsE z r coNTRAcoR
m .
Name Valdis&June Bormanis Name: Michael ODonnell
Address:8912 First Tee Rd Company: ODonnell Impact Windows
City: Port St Lucie State:FL Address: 6402 SE Federal Hwy
Zip Code: 34986 Fax: City: Stuart State:FL
Phone No.561-994-0363 Zip Code: 34997 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: CRC1331273
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: 4 Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: ^Not Applicable BONDING COMPANY: lNot 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 Siffhafure o ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF—M&,( COUNTY OF 0
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-'-1—day of Wa,rr k 20 Eby this 1-1 day of�(i f c V) 20 1 by
_�V1 I (h a-e_► Q1 r n e'd —U N r In L-e_( h-00mr i i
(Name of person acknowledging} (Name of person acknowledging}
r
(Sig ature o NotaPu lic-State of Florida) (Signature of Not ry P lic-State of Florida)
Personally Known OR Produced Identification Personally Known__V OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. mmission No, Seal)
�tiPa`v AMY ZWIRNER
Notary Public-State of Flori a �,otY°�s,- AMY ZWIRNER
• ; Commission#FF 962904 .�. « No
Revised 07/15/2014 -";, pac My Comm.Expires Mar 11,2020 4• Commission#FF 962904
SOF Bonded through National Notary Assn. �:�, �' My Comm.Expires Mar 11,2020
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