Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 03/08/2018 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 Commercial Residential x PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: Address; 1402 Ave O Fort Pierce, FL 34950 Legal Description: Irene Plaza Blk 3 Lot 22 Property Tax ID #: 2404-512-0055-000-8 Site Plan Name: Project Name: Smith Setbacks Front Back: Right Side: Left Side: Lot No. 22 Block No. 3 DETAILED DESCRIPTION OF WORK: Remove existing roof covering. Renail deck, install underlayment and install new asphalt shingles CONSTRUCTION INFORMATION: Additional work to be Dertormed under this permit— check all appy: 0H'VAC Gas Tank []Gas Piping Shutters Windows/Doors 11 Electric ❑ Plumbing Sprinklers L Generator ® Roof Roof pitch Total Sq. Ft of Construction: 2330 sq ft Cost of Construction: $ 6175.00 5 Ft. of First Floor: _ Utilities: Sewer Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Cleo Smith Name: Larry Mcdonald Address: 1402 Avenue O Company: Southeast General Contractors Group City: Fort Pierce State -FL Zip Code: 34950 Fax: Phone No.772-332-9608 Address: 10380 SW Village Center Drive - 232 City: Port St Lucie State:FL Zip Code: 34950 Fax: 877-756-0007 phone Na 877-407-3535 E -Mail: deaconsmith3178@att.net Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: JAMIEB@SOUTHEASTCONTRACTING.COM State or County License: CCC1330002 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: 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 rommanring work or rprnrding vnur Notice of Commencement. Rev. 8/2/17 Signature of ©caner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA rA STATE OF FLORIDA S� COUNTY OF Lkc-i- COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of MCcc," 20 by this day of 11) 6 CC1`1 20_al by Name of person making statement Name of person making statement Personally Known X OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced 4 X's i;Signatre of Notary Public- State of. A ` OLLETTE BENICHI Commission No. COMMISSION a FF1122I Signat re of Notary Public- Stat Y� ]SICS�� LETTE BENICHIO ommission No. - l � �l lr( )P MISSION u Gra 12219 EXPIRES: July 18, 2018 'F FXPIRES: July 18, 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17