HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: I Permit Number.
F1E'i�.w IV�zL)
DEC 0 � 2017
Building Permit Application PERNII171WG
Planning and Development Services St. Lucie County, FL
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: 8282 SPICEBUSH TERRACE PORT SAINT LUCIE FL 34952
Legal Description: LAKE LUCIE ESTATES PLAT NO. ONE LOT 72(OR 2170-2333)
Property Tax ID#: 3426-703-0086-000-1 Lot No. 72
Site Plan Name: N/A Block No.
Project Name: N/A
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE SHINGLE
INSTALL TRI-BUILT PEEL & STICK UNDERLAYMENT
INSTALL OWEN CORNING SHINGLE / DURATION
CONSTRUCTION INFORMATION:
Additional work toa performed under this permit—check a appy:
HVAC Gas Tank OGas Piping _Shutters Windows/Doors
OElectric O Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 2871 S . Ft. of First Floor: 2871
Cost of Construction:$ 17,000.00 Utilities:Sewer Septic Building Height: 8'
OWNER/LESSEE: CONTRACTOR:
Name ROBIN TRESTON Name: MAURICIO ORELLANA
Address:8282 SPICEBUSH TERRACE Company: ONE CONSTRUCTION &ROOFING CONTRAC.
City: PORT SAINT LUCIE State: FL Address: 2766 SW EDGARCE ST
Zip Code: 34953 Fax: N/A City: PORT SAINT LUCIE State: FL
Phone No.772-200-0549 Zip Code: 34953 Fax: N/A
E-Mail:N/A Phone No. 772-519-2449
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: CCC-1330623
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
ti
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
—_z/ _
DESIGNER/ENGINEER: — Not Ap ' able MORTGAGE COMPANY: Not Applicable
N am e:ROBIN TRESTON N a m e:MAURICIO ORELLANA
Address:8282 SPICEBUSH TERRACE PORT SAINT IE FL 34952 Address: 8282 SPICEBUSH TERRACE
City: PORT SAINT LUCIE State: City: PORTSAINTLUCIE State:
Zip: Phone Zip:
FEE SIMPLE TITLE DER: _ Not Applicable BONDING C PANY: _Not Applicable
Name: Name:
Address:2766 EDGARCEST Addre
City: Cit .
Zip: Phone: p: 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST WCIE COUNTY OF ST LUCIE
The for> ing instrument was a knowledged before me The fow-oIng instrument was acknowledged before me
this_�7day of _C ^`N� 204by this*�ay of
Name of person making statement Name of person making statement
Personally Known L----OR Produced Identification Personally Known Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature o to Pu lic-State r r gnatur f Notary Public-St.�fe,pfrlon
,........, >a` PAULETTE BLAIR-ALEXANDE
Po'••,, PAULETTE BLAIR ALEXANDER
Commission No. ` \ r°, todlfr mf� No. "` : No�SgC�yblic State of Florid
Notary Public-S a - -
='• • c Commission # FF 99569 ,Nr °�Z ommission FF 995699
Ir Sep 6,2020 '.',;F°_F�c>Q,• My Comm.Expires Sep 6.202
•.�.F °?c MY Comm.Exp' •„�.�,.�``
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17