HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED LA
Date: I. DI Permit Number:
COUNTY - R�
F t. 0 R f 0. A '7 A
Building Permit Application gp,Qa.
Planning and Development Services Perm/ ®201®
Building and Code Regulation Division �L,44 Beiso
2300 Virginia Avenue,Fart Pierce FL 34982 cso0megf
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof 0
PROPOSED IMPROVEMENT LOCATION:
Address: 20050 GLADES CUT OFF RD PORT SAINT LUCIE FL 34987 •
15 37 38 FROM SW COR OF SEC RUN N 00 DEG 10 MIN 01 SEC E ALG W SEC LI 1235.39 FT,TH N 88 DEG 45 MIN 51
Legal Description: MIN E 100.02 FT TO PT ON E RIW CARLTON RD AND POB,TH CONT N88 DEG 45 MIN 51 SEC E 343.06 FTTO NWLY
RNV GLADES CUTOFF RD,TH S 44 DEG 45 MIN 12 SEC W ALG SD NWLY RNV 458.02 FT M/L TO E RNV CARLTON RD,TH NLY ALG SD
E RIW 328.88 FT M/L TO POB(1.30 AC)(OR 1281-1124)
Property Tax ID#: 4215-323-0010-010-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW DURATION •
SHINGLE ROOF -
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit—check all apply: El .
EIHVAC Ll Gas Tank nGas Piping _)Shutters El Windows/Doors LI
Electric ®Plumbing ❑Sprinklers Generator El Roof V/)2_ P.;Ur)
Total Sq.Ft of Construction: 4,171 S . Ft.of First Floor:
Cost of Construction:$ $20,250.00 Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JOHN AND LORI APPLEBEE Name:Ronald Latta
Address:20050 GLADES CUT OFF RD Company: Treasure Coast Concepts Inc.
City: PORT SAINT LUCIE State:FL Address: 3458 SW Pluto St
Zip Code:34987 Fax: City: Port Saint Lucie State:FL
Phone No.772-519-1103 Zip Code: 34953 Fax: 772-905-4910
E-Mail: Phone No. 772-777-8130
Fill in fee simple Title Holder on next page(if different E-Mail: tcconcepts@aol.com
from the Owner listed above) State or County license: CCC1330362
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL'CONSTRUCTION LIEN.LAIN'INFORMATION:. . . . .
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City:' State:
• Zip: Phone Zip: Phone:
•
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 - der or a . orney before
comm cin work or recordin your Notice of Commencement. /�
1 - tAll '
. Sign 1ture of 0 ner/Lessee/Contr ctp&fr
Agentner S' re f e-_. :ctor/Liceni older
STA EOF LORIDA Q` S A EO F •RADA
COU OF cl_Q- COUNTY OF it,1 06 ems,
The forgoing inst meet was acknowledge before me The forming instrument was acknowledged before me
this 9'b-day of ,20 j1 by this `I day of Arr.'I ,207 by
lOnrtic i-_.�.I$cr
Name ofperso eking statement Name of person making statement /
Personally Known OR Produced Identification Personally Known OR Produced Identification a/
Type of Identification Type of Ide fication
Produced Produced 1,11,.. :YF?'"'•. FERNANDO SETANCOU T
;,-, ,.,A,.1 Notary Public-State ofFlo'id1
r ys Commission#GG 19404)
��G�els �'/ My Comm.Expires Mar 11,201
' .. Ronded through National Notary 4si
MEttS(Signat re of Notary Pub�fc-•• ''.t.Flgfd4i i 'A PAARA of FloridaSignature of Nota Public-State of — —
�' ublic-State of Flo ' ( Notary Florida)�
�/�*G i_ -; _ Commission#GG 126946
Commission No. `—"-' G Ex iresJul23,2021 �yf �
Weal). p : Commission No.L:a / ! +0 (Seal)
S"'• OFP.'.. Bonded through National Notary Assn. p
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
• COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
T
DATE
COMPLETED
Rev.8/2/17