HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
C0UNTY `
F L O R i p q --
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
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 3036 Eagles Nest Way Pt St Lucie, FL
Commercial
Legal Description: Eagle's Retreat at Savanna Club Phase 2 Bilk 65 Lot 10
Property Tax ID #: 3424-702-0219-000-4
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Shingle re -roof; using laminated shingles from GAF, 16 SQ
CONSTRUCTION INFORMATION:
7MMonal wor to jee arme un er
®HVAC L�J Gas Tank
Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 12,733
OWNER/LESSEE:
Name DONALD & WINETTE GILLIS
— cnecK all that appiv:
Residential X
Lot No. 10
Block No, 65
Gas Piping
u Shutters
0
Windows/Doors
Sprinklers
a
Generator
L� I
Roof
Roof pitch
S Ft. of First Floor: _
Utilities:USewer OSeptic
Address: 3036 EAGLES NEST WAY
City: PT. ST. LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. (772) 215-5344
E -Mail: gillis@bellsouth.net
Fill in fee simple Title Holder on next page i if different
from the Owner listed above)
CONTRACTOR:
Name: FRANCIS BUCHANAN
Building Height:
Company: BUCHANAN SERVICES, LLC
Address: 3300 SW 11TH STREET
City: DEERFIELD BEACH State: FL
Zip Code: 33442 Fax: 772-324-8090
Phone No. $00-379-0122
E -Mail: accounting@pdrhelps.com
State or County License: CCCO56685
If value of construction is $2540 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: r
MORTGAGE COMPANY: Not Applicable
Name: r -
Address: _
City: -- - State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address: �
BONDING COMPANY: Not Applicable
Name:
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 l 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 {ender or an attorney before
commencine work or recording vour Notice of Commencement.
Rev. 8/2/17
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Halder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Manln
COUNTY OF Martin
The forgoing instrument was acknowledgedbefore me
The forgoing instrument was acknowledge before me
this 21st day of March lb
this 21st day of March 201 by
Francis Buchanan
Francis Buchanan
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17