HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C�
Date: March 08-2018 Permit Number:11� y3
Building Permit Application MAR �� 26M
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 J
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof ,
PRO POSED.IMPROVEMENT LOCATION
Address: 485 Hemingway Terrance, Fort Pierce, Florida
Legal Description- TROPICAL ISLES (OR 2786-2163) UNIT G-04(OR 2881-2325)
Property Tax ID#: 3410-508-0157-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Janice A Raasch
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
-
Re-Roof existing shingle roof with removing existing shingles and placing with new shingles.
CONSTRUCTION INFORMATIC!N
I
itiona work-to Telertormedun er t is permit—c ec a appy:HVAC _Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
RElectric El Plumbing Sprinklers ElGenerator R Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1300 S . Ft.of First Floor: 1873
Cost of Construction:$ 2300.00 Labor Only Utilities:Sewer ElSeptic Building Height: 13
OUVNER/LESSEE
Name Janice A Raasch Name:
-Address: 485 Hemingway Ter#G04 Company: MRC Services
City: Fort Pierce State: FL Address: 85 South Las Olas Drive
Zip Code:- 34982 Fax: City: Jensen Beach State: FL
Phone No. 772-831-7427 Zip Code: 34957 Fax:
E-Mail: Phone No. 772-201-8316
Fill in fee simple Title Holder on next page(if different E-Mail: mreservicesfl@gmail.com
from the Owner listed above) State or County License: CBC1259999/CCC1330490
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
TSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATI(JN �
F
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
commencing work or recording our Notice of Commencement.
�J/ Na,m � �d�d•' N o
Signature of Owner/Lessee/Con cto as Agent for 08 g Signature of Contractor/Lic nse Ider au^o
T LL A,N
•LLL 1 R7 t0
STATE OF FLORIDA =Z W a STATE OF FLORIDA j
COUNTY OF JiCZ,Q� m w-m-; i COUNTY OF
CLi
The forgoing instrument was acknowledg5 pefore ¢i The forgoing instrument was acknowledged before ¢0a F5
this�day of �- �G ,20_2 by �U'$ this T day of_}'77 f'�26a by ¢Oxu
Name of perso aking statement 'a Name of perso aking statement
...... m
Personally Known OR Produced Identificatio 9,3"N Personally Known OR Produced Identifica ori ••• f;�`
Type of Identification Type of Identification
Produced Produced
(Signature of Notarylic-State of Florida) (Signature of Wary Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER, REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17