HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO'�MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r w,,
Date:
I' 0') Permit Number: 17 I 0
Building Permit Application JAN 10 2018
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 El
PROPOSED IMPROVEMENT LOCATION:
Address: 7202 SEBASTIAN RD FORT PIERCE FL 34951
Legal Description: LAKEWOOD PARK UNIT 11-BLK 150 LOTS 2 AND 3
Property Tax ID#: 1301-613-0301-000-9 Lot No.2 AND 3
Site Plan Name: LAKEWOOD PARK Block No. 150
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE SHINGLES AND UNDERLAYMENT; INSTALL NEW UNDERLAYMENT AND SHINGLES
CONSTRUCTION INFORMATION:
Additional work to be performed under t ispermit—c ec a appy:
HVAC Gas Tank E]Gas PipingShutters Q Windows/Doors
MGenerator
Electric Plumbing Sprinklers Roof 2.5/12 Roof pitch
Total Sq. Ft of Construction: 2785 S . Ft.of First Floor:
Cost of Construction:$ 20,444.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name EDGAR INMAN Name:
Address:7202 SEBASTIAN ROAD Company: PANDA CONTRACTORS
City: FORT PIERCE State: FIL Address: 4560 US 1
Zip Code: 34951 Fax: City: VERO BEACH State:FL
Phone No. Zip Code: 32967 Fax: 866-711-0251
E-Mail: Phone No. 772-778-6803
Fill in fee simple Title Holder on next page(if different E-Mail: CE04CRRS@GMAIL.COM
from the Owner listed above) State or County License: 006984
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Jan 11 18, 12:23p' Panda Contractors, Inc 18667110251 p.1
DESIGNER/ENGINEER: x Not Applicable MORTGAGE CO PANY: F�. Not Applicable
N a m e:EDGAR INMAN Name: 1
AddreSS:7202SEBASTIAN R13FORT PIERCE FL34951 Address: 7202 ANRO
City: FORT PIERCE State: City: VERO BEACH � S e:
Zip: Phone Zip:
FEE SIMPLE TITLE HOLDER: -14 Not Applicable BONDING COMPANY: c'rNot pplicable
Name: Name: i
Address:—us 1 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.
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/LesseLs ontracto Agent for Owner Signature ofFactor/License F&Eler
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF i� Qtl-*p COUNTY OF z7Ncji'4N P+L-,c-e-
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of cG 20 A by this ZB day of DeerX&e r 20 17 by
f r O �G 1: y,,.c,� 3tr��,y 2 e�•�w«.�.
N me of person nPlaking statement Name of person making statement
Personally Known I/ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
` LRY Andres Baena
(Signature f Nota Pub)[Ic-State of Florida } (Signa re ofo y Public-State NOTARY PUBLic
TAR Andres Baen -+STATE OF FLORID
Commission No.6) i�5�"� NOTARY PLI �mmission No. C7C7CFIS5 7 y.,.: L}Tm1#GG078567
a STATE OF F ARIDA 'ICEl Expires 3/2/2021
Comrr#GGO r8567
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17