HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L
Date: Permit Number: ` !L •OAL
_ 1
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 X
PERMIT APPLICATION FOR:
RoofEl
PROPOSED IMPROVEMENT tOCATION:.
Address: 8280 Sand Pine Circle Port Saint Lucie FI 34952
Legal Description: LAKELUCIE ESTATES PLAT NO.ONE LOT 31 (OR 947-1810;1208-491;1261,716-720)
Property Tax ID#: 3426-703-0045-000-2 Lot No. 31
Site Plan Name: N/A i ! Block No.
Project Name: N/A
N/A N/A N/A N/A
Setbacks Front Back: Right Side: Left Side:
i
DETAILED DESCRIPTION OPWORK
REMOVE EXITING ROOF COVER
INSTALL PEEL & STICK UNDERLAYMENT
INSTALL OWEN CORNING SHINGLES
CON$TRUCTION INFORMATION
Additional work to be nertormed un er t is permit appy:
13GasTank
?!
HVAC OGas
_Shutters Q Windows/Doors
Electric 0 Plumbing OSprinklers 11 Generator R]Roof Roof pitch
Total Sq. Ft of Construction: 2522 S . Ft.of First Floors 2522
13,950.00 ✓ 8
Cost of Construction:$ Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR',
Name IRENE ELIAS Name: MAURICIO ORELLANA
Address:8280 SAND PINE CIRCLE Company: ONE CONSTRUCTION&ROOFING CONTRACTORS
City: PORT SAINT LUCIE State: FL Address: 2766 SW EDGARCE ST
Zip Code: 34952 Fax: N/A City: PORT SAINT LUCIE State: FL
jPhone No.772-768-7666 Zip Code: 34953Fax: N/A
E-Mail:N/A Phone No. 772-240-9497
Fill in fee simple Title Holder on next page(if different E-Mail: ONECONSTRUCTIONSERVICES@YAHOO.COM
from the Owner listed above) State or County License: GCCA330623
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW:INFORIVIATION I:
ni
DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: _ of Applicable
Name:IRENE ELIAS Name:MAURICIO ORELLANA
Address:8280 Sand Pine Ci ort Saint Lucie FI 34952 Address: 8280 SAND CIRCLE
City: PORTSAINTLU State: City: PORTS LUCiE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: pplicable BONDING COMPANY: _ of Applicable
Name: Name:
Address:2766 SW EDGARCE ST Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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.
�Q,C,o CkO_6LAOLI 9'" �C�4�- "-\
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA S 1
COUNTY OF S l LJ\3,_Q\.iL�- COUNTY OF
The forgoing instrument was acknowledged before me The forgpirig instrument was acknowledged before me
this�'�day of l�C'10 � 20 by this\"_day of Oc-\o%X>e_--C ..20 k__
�\��-r���� �c•�\mac-�-�.c�. � \��-c�«� � c�\\����
Name of person making statement Name of person making statement
Personally Known ✓ OR Produced Identification Personally Known ti�OR Produced Identification
Type of Identification Type of Identification
Producedi2 Produced
TTE BLAIR-ALEXAD
'2• ;`= Notary Public-State of "�PVOra �,� PAULETTE GLAIR-ALEXANDCommission#FF 995 =r°. ;° Notary ER
Public-State ofFloridaomm.Ex Tres Sep 6 '_ Commission#FF 995699
P:
(Signature of Notary �'-'Q , ignature of Nota PSep
ate UP
Commission No \ (Seal) Commission No. ) (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17