HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04 Permit Number: d
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division JAN 2 4 2W
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial NO Residential YES
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2801 Essex Drive, Fort Pierce, FL 34946
Legal Description: SHERATON PLAZA-UNIT THREE REPLAT LOT 214(OR 203-990:953-2575:1844-652:2705-726)
Property Tax ID#: 'E `— z Lot No.214
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED,DESCRIPTION OF WORK:`
Remove and replace asphalt roofing shingles
CONSTRUCTION INFORMATION:
Additional work to be nertormpd under!his permit—check all appy:
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HVAC _Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing O Sprinklers I Generator W1 Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 1,800 S Ft.of First Floor: 1,157
Cost of Construction:$ 3,493.00 Utilities:Cn Sewer 0 Septic Building Height: 12'
OWNER/LESSEE: CONTRACTOR:
Name Catherine J Knight Name: 0 LJ1W,5rP,_
Address:2801 Essex Drive Company:
City: Fort Pierce State:FL Address:
Zip Code: 34946 Fax: City: State:
Phone No.772-465-9086 Zip Code: Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
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
N am e:Catherine J Knight Name:
Address:2801 Essex Drive,Fart Pierce,FL34946 Address: 2801 Essex Drive
City: Fort Pierce 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:
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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 encement must be recorded and posted on the jobsite
before the first inspection. If you intend t q, ancing, consult with lender or an attorney before
commencing work or recording our Noti r encement.
Signature of Owner/Lessee/C ractor as Agen (U' _ori Signature of Contractor/License Holder
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STATE OF FLORIDA ��m�y STATE OF FLORIDA
COUNTY OF 12A. COUNTY OF
The forgoing instr nt was acknowledged eJ[ The forgoing instrument was acknowledged before me
this "day of 20� b �N this day of 20_ by
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Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identi?iZtitjpn / Type of Identification
Produced G ` Produced
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(Signature of Not UP
ublic-State of Florida V (Signature of Notary Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17