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HomeMy WebLinkAboutBuilding Permit Application (2) I I , ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �,. k. RECEIVED o •p , - ---�- Building Permit Application FEB 20 2018 Planning and Development Servicesi ; Permitting Department Building and Code Regulation Division St.Lucie County 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial (Residential' X I , PERMIT APPLICATION FOR: Roof 1J � �-'a `+.+ r't�M. Address: 98 Camino Del Rio I' Legal Description: Property Tax ID#: 3427-111-000-2000-5 Lot No. Site Plan Name: Block No. Project Name: ! Setbacks Front Back: Right Side: Left Side: I ' rte%'"" err ' + `, ,^s.`�a.+..- "s"..IO Y+= y -, eq .... .s .g s'' " °' i -i r sF - WINH IN nP! 13 _ WN = a _ ate Remove existing shingle roof and replace with new shingle roof i ,..._ M'_.- IN "3< �� itiona worKtobenertormea under this permit—checK all that appy: HVAC L_J Gas Tank FGas Piping _Shutters ! a Windows/Doors Electric F-1 Plumbing Sprinklers 11 Generator 0 Roof Roof pitch I I ; Total Sq.Ft of Construction: 1800 S .Ft.of First Floor: . Cost of Construction:$ 7450 Utilities Sewer E]Septic ;'Building Height: 8' +1{ I I I - Ix Ta{tRs • _ i y f£ ` f ,3 ¢Zti..«f '5 .'!�'_ vt..� '=ss * ...,n. tOWN _ ,..r Name Carmen Alonso Name: Jamie Cisco; I Address: ,98 Camino Del Rio Company: Sunshine Roof'ng LLC City: Port St. Lucie State: FL Address: PO Box 1083 Zip Code: 34953 Fax: City: Palm City State: FL Phone No. 954-256-3922 Zip Code: 34991 ; ; Fax: I E-Mail: Phone No. 772-260-8195! Fill in fee simple Title Holder on next page(if different E-Mail: sunshineroofingllc@gmail.com from the Owner listed above) State or County License: PCC1327796 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I i J I 1 i I � I DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: I . _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: 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 result4n 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 oran attorney before commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder l STATE OF FLORIDA STATE OF FLORIDA ; COUNTY OF 6 i' 1_06%e— COUNTY OF st.Lucie ! The for Ing instrum nt was acknowledge¢pefore me The for ing instru el t was acknowledge�}�efore me this day of 20L?T by this Lday of 20�Y by (Qt l rl ��©case J rule CA sceD Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known X I OR Produced Identification Type of Identific tion Type of Identification; 1 Produced Produced 1 I I1 (Signatur of Notary u ' - f (Signat re of Nota Public-St a of Elori a) Y 11N. Not Public state of Florida Commission No. ° .B`'� Mari egel Commission No. PSY?&a ''.NotaryPublic(SeS Florida ca My Commission FF 230179 !Marilyn Kluegel SOF F�OQ' Expires 06/28/2019 ® c My Commission FF 230179 9�'OFF�° ! ;Expires 06/28/2019 I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE ' i COMPLETED i Rev.8/2/17 i I ! ' I