HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r ,,�
Date:c `,
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RECEIVED
Building Permit Application JAN 2 9 2018
Planning and Development Services ST, Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 8145 Hidden Pines Rd, Fort Pierce, FL 34945
Legal Description: HIDDEN PINES ESTATES BLK C LOT 1(1.02 AC)(OR 3485-2695)
Property Tax ID#: 2323-701-0034-000-7 Lot No. 1
Site Plan Name: Block No. C
Project Name: Brown
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove entire 62sq of existing roof shingles system. Install new GAF Timberline Dimensional Shingle
with new flashing, boots, jacks and pipe vents.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
11 Electric �Plumbing Sprinklers �Generator �Roof 6 12 Roof pitch
Total Sq. Ft of Construction: 62sgs SFt. of First Floor:
Cost of Construction:$ 24,790.00 Utilities:cn Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Charles W Brown&Gwendolyn G Brown Name: Crystal Anderson
Address: 8145 Hidden Pines Rd Company: Olneya Restoration Group, L.L.C.
City: Ft. Pierce State: FL Address: 4253 SW High Meadow Avenue
Zip Code: 34945 Fax: City: Palm City State: FL
Phone No. (540)905-2473 Zip Code: 34990 Fax: 772-925-8417
E-Mail: theladyofshalott@yahoo.com Phone No. 772-222-5019
Fill in fee simple Title Holder on next page(if different E-Mail: Ilawrence@olneya.Com
from the Owner listed above) State or County License: CCC1330974
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: _?4iVot 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 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.
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Signature of 0 ner/Lessee/Contractor as Agent for Owner Sign re of ontractor/License Holder
STATE OF FLORIDA pp STATE OF FLORIDA W'e�m
COUNTY OF U�t1� t� COUNTY OF
The forgoing instrument was acknowledged before me The foCgoing instr ment was acknowledge before me
this�day oft 1(a,( J&, 20\� by this W day of 20 I by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known C., OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signatur f Notary Public-State of FIEiijajSi nature Notary Public-Stat o FI rids
—I MEGANJEANETTE AWRENCE a4�> '•r GAN JEANETTE LAWRENC:
Commission No. b I��� `;�`• Notary Public-StaeQEEl�1wis on No. ?+C'i1.�r e taryPublic-State ofFlori�Commission x G 097477Commission M GG 091477 My Comm.Expires kpr 24,2021 ^`'' MY Comm.Expires Apr 24,102
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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