HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \ \\�o\\� Permit Number:
RECEIVED
Building Permit Application JAN 16 2018
Planning and Development Services
Building and Code Regulation Division ucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof _ S� ,
PROPOSED IMPROVEMENT LOCATION:
Address: 7717 WHITE EGRET LN, PORT ST LUCIE, FL 34952
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2(PB 43-21)BLK 63 LOT 21
Property Tax ID#: 3424-702-0182-000-5 Lot No.21
Site Plan Name: Block No. 63
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
RE-ROOF, REMOVE EXISTING METAL ROOF AND INSTALL NEW ARCHITECTURAL
DIMENSIONAL SHINGLES. 4/12 SLOPE
CONSTRUCTION INFORMATION:
Additional work toe er orme under this permit—check a appy:
HVAC 11 Gas Tank Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers 11 Generator R] Roof /12 Roof pitch
Total Sq. Ft of Construction: 3000 S Ft. of First Floor:
Cost of Construction: $ 8850 Utilities:Sewer E]Septic Building Height: 12'
OWNER/LESSEE: CONTRACTOR:
Name KATHY LABAR Name: RICARDO LARA
Address:2065 SE SAINT LUCIE BLVD Company: ELITE ROOFING SOLUTIONS, INC
City: STUART State:FL Address: 812 SE LINCOLN AVE
Zip Code: 34996 Fax: City: STUART State:FL
Phone No.(772)343-0001 Zip Code: 34994 Fax:
E-Mail: Phone No. 772-643-7663
Fill in fee simple Title Holder on next page ( if different E-Mail: ERS.PERM ITS@GMAIL.COM
from the Owner listed above) State or County License: CCC1330337
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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 thepermit 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 fir t inspection. If you intend to obtain financing, consult with lender or an attorney before
commencirt�work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner S natur of Contractor/License Holder
STATE OF FLORIDA �, ,,f STATE OF FLORIDA
COUNTY OF � �' COUNTY OF
The forgoing instru ent was acknowledged before me The forgoing instry ent was acknowledged before me
this %Z day of f!' 20 'r by this 12- day of 20_.Y by
Name of person making statement Name of person making statement
Personally Known J( OR Produced Identification Personally Known �< OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Puglic-St�F4fsWW4@(asano (Signature of Notary Public-State of Florida)
�Ot Assn NOTARY P}�B C o�pRyA� Theresa Anne Fasano
Commission No. a TE OI IDA Commission No. r1L NOTARY 966A
?
Com m#GG126275 _
ESTATE OF FLORIDA
sjy 9�e i Comm#GG126275
Nce 9 21
Expires 7119/ 021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17