HomeMy WebLinkAboutBuilding Permit Application SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 bf Owner/Lessee/Contractor as Agent for Owner Signatur of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA�
COUNTY OF COUNTY OF 1
The forgoing instrpknent w s acknowledged before me The forgoing instrkment was acknowledged before me
this day of 20 aby this- day of n ✓� ,20/7 by
(Na e o e on acknowledging) (Name of person acknowledging)
'797aturTof Notary Public-Stat f Florida) (Signature ofNotary
y� Public-State of Florida)
Personally Known OR Produced Identification Personally Know-ft--J OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 1'mission No. ARON LIiIANKENSHIP,
LASHAHNA INGRAM ==r :�
•aY'ru' =' '= MY COMMISSION#FF153833
, ••_ '• t Public-State of Flo ida
r-Ar Mr-0 MUYUbt 24,
My Comm.Expires Uec
,.OFF•�.`c•
1=.`*
Revised 07/15/2014 ;s\y,`�41c;; Commission#FF 177249 (407)396-0153 FlorfdallotaryService.com
rsu ,ti'` ®tided thtough National Notary Assn.
REVIEWS FRONT ' ZONING SUPERVISOR PLANS VEGETATION SEA'TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I��^I •�l l�U
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 ResidentiaIl x
PERMIT APPLICATION FOR: Roof
-PROPOSED IMPROVEMENT LOCATION:
Address: 7105 Donlon Road Ft. Pierce, FI 34951
Legal Description: LAKEWOOD PARK-UNIT 11-BLK 143 LOT 27-A(MAP 13/12N).(OR 3591-1520)
Property Tax ID#: 1301-613-0142-000-6 Lot No.27-A
Site Plan Name: Block No. 143
Project Name: Ronald J Arold
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: 4
Remove old roofing materials, add new required materials and 30 year shingles
CONSTRUCTION INFORMATION: la
AdClitional work to e e orme under tispermit—c—check.a appy:
HVAC 0 Gas Tank Gas Piping _Shutters Windows/Doors
❑ a
Electric 0 Plumbing Sprinklers E Generator Fv/� Roof 312 Roof pitch
Total Sq.Ft of Construction: 1868 Sq. Ft.of First Floor:
Cost of Construction:$ 9990.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:!,'
Name Ronald J Arold Name: James Cody Thomas '
Address:7105 Donlon Rd Company: Florida Retrofits, Inc.
City: Fort Pierce State:Fl Address: 2840 Kirby Circle#3
Zip Code: 34951 Fax: City: Palm Bay State:FI
Phone No.329- __1 72 " .S16. Zip Code: 32905 Fax:
E-Mail: Phone No. 877-659-8354
Fill in fee simple Title Holder on next page(if different E-Mail: info@floddaretrofits,.com
from the Owner listed above) State or County License: CCC1330830
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.