HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 ( � Permit Number: O
J - RECEIVED
Building Permit Application 14,AR 14 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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: 5 San Roberto
Legal Description. 5 San Roberto
Property Tax ID#: Owl . ��w - �5- Lot No.5
Site Plan Name: C/U WJ� l J �Ph&nBlock No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: WnLi�c'
Remove existing shingle replace w/ new shingles
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit—check a appy:
HVAC 11 Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ElPlumbing LI Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 6.800.00 Utilities:Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Suzanne Jones Name: Danielle Beggs
Address:5 San Roberto Company: Alliance Group
City: Ft. Pierce State:_ Address: 532 NW Mercantile PL#113
Zip Code: 34951 Fax: City: Port St. Lucie State:FL
Phone No. Zip Code: 34986 Fax: 772-492-8008
E-Mail: Phone No. 772-492-8006
Fill in fee simple Title Holder on next page(if different E-Mail: Wanda@alliancegroupllc.com
from the Owner listed above) State or County License: CCC1330918
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X 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.
i - l
Signa re of OwndJ Le see/Contractor as Agent for Owner Signature of Contrac o icense Holder
STATE OF FLORIDA4 r, STATE OF FLORIDA�-
COUNTY OF COUNTY OF . LxC c
The �rr {ng instru nt was a knowledged efore me The f g ins n knowledge efore me
thisL-f Qay of 20�by this y o�� 201by
Mao e) I s J�)Lo 6fqt2f
Name of pets n making statet Name of per on making st a ent
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
t
(Signature of Notar ubl c-Sta I nature of No ary Pu Ic- a
,,"'gid'- DAVID DAVID ALAN JO ON
�o �s' ALAN JO ���P�Bi;' �t��tp of Florida-Nota y ublic
Commission No. ;� lte of Florida-Nota y ion No. '>✓ A `�b�mmission # GG 7 48
*: Commission # GG 7 '� es
;� aA 2248 =, My Commission E
My Commission E pi es �'''p,;;;��` January 03, 20
Januar
03
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17