HomeMy WebLinkAboutBuilding Permit Application r
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:TTMQ'_��
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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: Roof
PROPOSED IIVIFROVEMENkT LQCATION H
Address: 160 SE BONITA CT
Legal Description: RIVER PARK-UNIT 5 BLK 52 LOT 8 (MAP 34/28S) (OR 3055-2982)
Property Tax ID#: 3419-540-0299-000-6 Lot No.8
Site Plan Name: River Park Block No. 52
Project Name: Shingle re-roof over wood deck
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF WORK f' �; �
Shingle re-roof over wood deck, with 2 layers of 30# Felt. 3/12 Pitch gable roof.
CO77
NSTRUCTION IN,F.ORMATION
Additional work to be ertormed under this permit—check all appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 2000 S.F. S . Ft. of First Floor: 2000 S.F.
Cost of Construction: $ 5,000 Utilities: Sewer❑Septic Building Height: 12'
fm
OWNER/LESSEE z CONTRACTOR: d F'
Name Ramon Rodriguez-Santana,Carmen A Arroyo-Olivieri Name: Sandra Puerta
Address:701 SW Jacoby AVE Company: Master Contractors, Inc.
City: Port St Lucie State:FL Address: 6476 Kirsten Way
Zip Code: 34953 Fax: City: Lake Worth State: FL
Phone No. Zip Code: 33467 Fax: 561-828-2645
E-Mail: Phone No. 561-712-8898
Fill in fee simple Title Holder on next page ( if different E-Mail: mastercontractors@msn.com
from the Owner listed above) State or County License: CCC057753
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CQNSTRM- bN LIEN LAW INFORMATION x
DESIGNER/ENGIN _
EER: Not Applicable MORTGAGEECOMPANY: Not Applicable
Name: Name:
Address: Address:
City: S e: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPAN Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: hone: 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.
CUA s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sT LUG( � COUNTY OF S LULL_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this__LA-day ofp�Q0. 20 1:1—by this W- day of (e_k ,20 L-7 by
(Name of person acknowledging) (Name of person acknowledging)
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BISHOP EVANS
BISHOP EVANS
(Si ature of Notary Public Sot d#F.I ridaE�PIRES April 23.2017 ( i ature of Notary Public St_a.� �lor"r�a�OMMISS - 136
/ F9FF`OP' EXPIRES April 23,2017
r✓ I ,40 39 -0153 FloridallotaryScrvice.com
Personally Known ' tlull Personally Known _hServicexom
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS