HomeMy WebLinkAbout8101 pasoAl.L APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02h08/2018 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 8101 Paso Robles blvd ft .pierce Fl. 34951
Legal Description: psi section 08- blk 1098 lot 30 (map 44/06s 0 (or) 3854-2358
Property Tax ID #: 361 coo � � -- Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: I
Tear off existing shingle roof and install shingle roof FI 10674-R12 and 30 lb. felt paper
on a 5112 roof pitch 2100 sq. ft.pcc+ 4000 (41k- 9 /VC) 7e—_,.�
796o���
j1ditional work to be Dertormecl under this permit — ci
[1HVAC Gas Tank E]Gas Piping
11 Electric Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
apply:
Shutters Q Windows/Doors
L—I Generator IZI Roof
S. of First Floor: _
Utilities:'n Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Yolanda Sihler
Name: Richard A. Newland
Address:
Company: Richie the Roofer
City, port st. lucie State: FL
Zip Code: 34953 Fax:
Phone No. 772-216-5475
Address: 905 13th st sw
City: Vero Beach State: FL
Zip Code: 32962 Fax: 866-610-8652
Phone No. 772-464-4329
E -Mail: richieroofer@yahoo.com
State or County License: GGC 1512738
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requireq.
SUPPLEMENTAL CONSTRUCTION LIEN. LAUD INFORMATION: -
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
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
commenciniz work or recording our Notice of Commencement.
Rev. 8/2/17
Signa re of Contractor/License Halder
Si of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF aA1 ?A.V of
COUNTY OF tCir�
The forgoing instrument was acknowledged before me
The forgoing instru ent was acknowledged before me
this -_7 - day of 201 by
this 1— day of 2018 by
Name ofp erakin statement
�OR
Name of person aking statement
Personally Known'son
Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
!�
14 A
(Signa t �'.ixa }
('Signature of 0, 1.TIT }t UES
Commi *; :* My COMMISSION # GG 15?Seal}
e�ee,aer
* M `` COMMISSI-DN # II
Commission z's Q S:Oct
T . er 16, 2021
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Spaded Thru NoteryPabk lfidenw J,,a- r
,?+ p °p 8or :ae : nru Notary t ubja Unde Writers
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17