HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
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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 Commercial Residential x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION �(
2614 Newport Dr Fort Pierce,FL 34982
Address: P
Le gal Description:
ORANGE BLOSSOM ESTATES-2ND ADDN-2ND PLAT BLK 7 LOTS 7 AND 8(0.72 AC)(OR 1879=2689;2324-2637)
Property Tax ID#: 2421-609-0015-000-6 , ,I Lot No.7
Site Plan Name: Block No. 7
Project Name: James Trinidad
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Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Install new 30 yr shingle roof FI5444-R12
Install SWR Underlayment F12569-R13 -
CONSTAUCTION INFORMATION.Acid
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itional work to be nertormed under this permit—check all appy: !
HVAC Gas Tank Das Piping _Shutters Q Windows/Doors
Electric 0 Plumbing ❑Sprinklers E Generator ✓ Roof X12 Roof pitch
Total Sq. Ft of Construction: 5996 Sq. Ft.of First Floor:
Cost of Construction:$ 17134.00 Utilities:Sewer E]Septic ;Building Height:
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OWNER/LESSEE
CONTRACTOR,,�h
Name ,lames Trinidad Name: James Cody Thomas !I
Address: 2614 Newport Dr Company: Florida Retrofits,!',Inc
City: FT.Pierce State:F: Address: 2840 Kirby'Circle#31
Zip Code: 34982 Fax: City: Palm Bay State:Fl
Phone No.561-262-5084 Zip Code: 32905 I 1 Fax:
E-Mail: Phone No. 877-659-8354 !
Fill in fee simple Title Holder on next page(if different E-Mail: info@floridaretrofits.com
from the Owner listed above) State or County License: CCC1330830/CBC1259135
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION,LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:James Trinidad Name:JamescodyThomas
Address:2614 Newport Dr Fort Pierce,FL 34982 Address: 2614 NewportDr.1
City. FT.Pierce State: City: Palm Bay State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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Add ress:284010rby circle#3 Address: I
City: City: II
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.
StI.Lucie County makes no representation that is granting a permit will authorize the permit holderto 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 concurrencyi�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.
Signature of caner/Lessee/Contractor as Agent for Owner Signature ontractor/License older
(STATE OF FLORIDA STATE OF FLORID
COUNTY OF 40`e,_—_J COUNTY OF / -✓
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this S- day of 20/r— by this--r day of--Q b :120)r"by
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Na of pers n making statement Nim f person making statement
iPersonally Known OR Produced Identification Personally Known �� OR Produced Identification
Type of Identification Type of Identification) :1
Produced Produced
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(Signatui a QW654tY �y� j�lLa gc LF/ 1);HIP (Signature of Nota iPubl' -
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MY COPAMISSION#F 153833 :,a�Pw.°�f4. SHARON LISA BLANI(ENSHIP
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miss '�y �`pi gust 2 B Commission No. �: '- 1 COMMIS�tFF153a33
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(407)398.0153 FlorldnNota 9arvlce.com �,?�. - oar.IEXPIRESAugust24, 201B
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ISEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW ;i REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17 i
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