HomeMy WebLinkAboutBUILDING PERMIT APPLICATION ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/30/2017 Permit Number:
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 xx
PERMIT APPLICATION FOR: Roof
PRO POSED`IMP ROVE MENT'LOCATION
Address: 5116 Myrtle Dr., Fort Pierce, FI. 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 07-BLK 49 LOT 9(MAP 34/02S)(OR 3234-751)
1
Property Tax I D#: 3402-608-0311-000-2 Lot-No.9
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Site Plan Name: Block No. 49
Project Name:
Setbacks Front Back: Right Side: Left Side:
ETAIL'ED DESCRIP.TIO.N OF�WORK:
Remove existing shingle roof. Renail to code, dry-in with peel-n-stick and install new shingles.
CONSTRUCTION INFORMATION.
itiona wor to e e orme under this permit—checK all that appy:
HVAC 11 Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3597 Sq. Ft.of First Floor: 3597
Cost of Construction:$ 2,400.00 Utilities Sewer 0 Septic Building Height: 8
OW N'ERAESSEE: CONTRACTOR:
Name Sheila Craan Name: Wanda Gahn
Address: Company: WWW Enteprises&Son, Inc.
City: State:_ Address: 8833 Lonesome Pine Trail
Zip Code- Fax: City: Fort Pierce State:FI
Phone No.718-598-3251 Zip Code: 34945 Fax:
E-Mail: Phone No. 772-465-9373
Fill in fee simple Title Holder on next page(if different E-Mail: wandagahn@aol.com
from the Owner listed above) State or County License: CCC1326015
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMEiVTAL CONSTRUCTION LIEN LAVii INFORMATION
DESIGNER/ENGI, N h.
,. , _. . NEER.
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,your Notice of Commencement.
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_Signature of Owner/Lessee/A ent Signature of Contractor/Lice ts6 Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF i
The� in inst men was acknowled a fore me The forgoing ins ent was acknowledg d before me
thisJny of 20 by thi�ay of 2417 by
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( me of person acknowledging) (Na o .person acknowledg- g)
(Si re o ry Pu ' -State of Florida) (Si re of Nota blic-State of Florida)
Personally Know OR Produced Identification Personally,1Kppwn d ce I entification
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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