HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03-29-2018 Permit Number: I gCI3 ® `C�
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COUNTY M.
r it o k I. n a -- RECEIVE®
Building Permit Application
Planning and Development Services MAR 3 01010
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 st. Lucie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5504 Spruce Drive. Fort Pierce, Fl.34952
Legal Description: Indian River Estates-Unit 09-Blk 73-Lots 6&7.
Property Tax ID#: 3402-610-0089-000-3 Lot No.6&7
Site Plan Name: Block No. 73
Project Name: Farschian
Setbacks Front c:A)J� Back: 0,9 S Right Side: /0 Left Side: /a
DETAILED DESCRIPTION OF WORK:
Remove existing shingles and replace with 5v Crimp metal on lower porch only
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all ha apply:
EIHVAC _Gas Tank riGas Piping I I Shutters Ej Windows/Doors
❑Electric ❑ Plumbing Sprinklers I I Generator El Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 1100 S . Ft. of First Floor:
Cost of Construction:$ 16,500.00 Utilities: I" Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Bfc rc Prk__=f1�r yName: JLoibi-r
( iLa,
Address:—C f�UDSCP tS ?€ ' Company: MehaffeyConstruction Group, Inc
City: 1--V'. P Lay State:A Address3,,f .S.E' b j y Lq 41,c-h( y
Zip Code: 33180 Fax: City: 1J Ca)- State:FI
Phone No. Zip Code: 34997 Fax: 772-398-7111
E-Mail: Phone No. 772-398-7600
Fill in fee simple Title Holder on next page(if different E-Mail: tmehaffey@mcongroup.com
from the Owner listed above) State or County License: CCC1330446 1
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: JINot Applicable
Name:_ Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Ne. 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
commenci ork or recordin: our Notice of Commencement.
.//
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owner/Less,-/Contractor as A ent for Owner i/
8i nature ontractor Lic:, ='s older
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 28 day of March ,20 by this 28 day of March ,20_ by
Timothy Mehaffey Timothy Mehaffey
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
�Q 1.5.Ed—tel odu d��
(Signature of oiotd,ry,,.pablic Sty c fifhrida) (Sign ,Piihlir-State f Florida)
``�Y'N "'Rr P° RYAN LYNN COLLU
_° .� RYAN LYNN(SC aOITLLUPY A e`-, Sal)
Commission 1\a.• MYCOMMISSICm7e#FF170227 Com €96i•;lli q. MY COMMI, SIGN#FF17o 7
'�°F Ft°;' EXPIRES October 21,2018 '�oF„o�•` EXPIRES October 21,2018
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(407)398-0153 FlorldaNnfaNSarvica earn i (407 398-0153 FlnridaNr,tarycer,i^a.corn
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17