HomeMy WebLinkAboutBUILDIND PERMITSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:CZ
Not Applicable
Name:
Name:
The for oing instrument was acknowledged before me
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Address:
this day of by
Address:
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City:
State:
City: State:
Zip: Phone
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FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
' F ommission # FF
Name:
Commission No.
Address:
Address:
City:
REVIEWS
City:
ZONING
Zip: Phone:
PLANS
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 reci rding your Notice of Commencement. ��% i
Rev. 8/2/17
re o win r/ Le ontra r as Agent for Owner
Si atur of G tact r/License older
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this day of 20by
this day of by
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Name of person making statement
Name of person making statement Y_
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KAITLYN SALIBA
' F ommission # FF
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Q �s IyptBrAllublc State of Flor
Commission No.
Commission No.
1` Cab fission # FF 95067
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/8/17 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 X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: y S I LVEZ UAK bL, \?o zt S i L t_ FL_ 3 L4 Js L
Legal Description: ST LUCIE GARDENS 26 36 40 BLKS 1 AND 2 LYG ELY OF US #1 RMI -LESS AS IS ORS 2533-2430:2544-2463:2547-1528
2554-1237: 2563-2398,2417: 2570-2920: 2625-1174: 2644-2626: 2692-1547: 2705-1881: (MAP 34/26N) (259.13 AC -11,287,702 SF)
Property Tax ID #: 3414-501-1701-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW 30 YEAR ARCHITECTURAL SHINGLE
ROOF. ?'Yl 031 i-�✓��
/2 -
CONSTRUCTION
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CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit —check a appy:
HVAC 11 Gas Tank F]Gas Piping _ Shutters ❑ Windows/Doors
11 Electric � Plumbing Sprinklers 11 Generator Z Roof Roof pitch
Total Sq. Ft of Construction: 850
Cost of Construction: $ 3,800.00
SQ. Ft. of First Floor:
Utilities:Sewer Septic Building Height:
OWNERALESSEE:
CONTRACTOR:
Name )LISE.P%+ a
Name: _22' UALb LA'rrJt
Address:q S i I Uel. C)At- l7f
Company: TREASURE COAST CONCEPTS INC.
City: _ 0,21 State:FIL
Address: 3LL $ Sin/ 1>IuT-p `, i
Zip Code: 34952 Fax:
City: ?CZ � S ► L_Lt L t,l State: FL
Phone No. 343-8348
Zip Code: 34953 Fax: 772-905-4910
Phone No. 772-777-8130
E -Mail:
Fill in fee simple Title Holder on next page (if different
E -Mail: TCCONCEPTS@AOL.COM
from the Owner listed above)
State or County License: CCC1330362
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.