HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/31/2018
COUNTY
F L ct R 1 Q A
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 3114 Avenue S Fort Pierce FL 34947
Legal Description: Sunrise Park NO 1 BLK 2 Lot 15
Property Tax ID #: 2405-501-0040-000-9
Site Plan Name:
Project Name: Ron Smith
Setbacks Front
Commercial Residential X
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing shingles, renail deck, install underlayment and roofing
Lot No. 15
Block No, 2
CONSTRUCTION INFORMATION:
A ftiona workto ee r Orme un er t �s permit — c ec a appy:
HVAC n Gas Tank Gas Piping _Shutters 11 Windows/Doors
LJ / s
Electric ❑ Plumbing E]Sprinkiers E Generator [z] Roof 1112 Roof pitch
Total Sq. Ft of Construction: 762
Cost of Construction: $ 5500.00
OWNER/LESSEE:
Name Ronald E Smith
S. Ft. of First Floor: _
Utilities: Sewer Septic
Address: 2844 Blackwater Creek Dr
City: Lakeland State: FL
Zip Code: 33810 Fax:
Phone N0.7723706502
E -Mail: smithre@us.ibm.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name. Larry Mcdonald
Building Height:
Company: Southeast General Contractors Group
Address: 3121 Skyway Cir, suite F
City: Melbourne State: FL
Zip Code: 32934 Fax: 877-756-0007
Phone No. 877-407-3535
E -Mail: JAMIEB cr SOUTHEASTCONTRACTING.COM
State or County License: cccl330002
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: 3121 skyway 0ir.7su
City: ite F Address:
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.
!mA I �A 4,,
f nature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF "Lt
The forgoing instrument was acknowledged before me
this -31 day of _1AtUA4W 20 Q by
Name of person making statement
Personally Known '�4 OR Produced Identification
Type of Identification
Produced
Al� ,/L\,.
Sigture of Contractor/License Holder
STATE OF FLORI A
COUNTY QF Lct�t
The forgoing instrejment was acknowledged before me
this . _ day of � 1,AA�2.a 24 I'G by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Si nature of Notary Public- State _ (Signa re of Notary Public- State of Florida j
Commission No. 1112 �� C4LLETTE BEN
ICH1 f r 12 of
mmission No.
COMM
COM
d FF"" 9
" oFR�O EXPIRES: July 18, 2018
ov r.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/7/17
COMM] SSION 0 CFI ) 22
EXPIRES: July I8, 2018
MANGROVE
REVIEW