HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
CC)tI NT Y
F L O R ! b R
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: 304 Rosewood Drive Ft. Pierce
Commercial Residential X
Legal Description: Sandalwood Estates subdivision; Bik 40 Lots 21 and 22
Property Tax ID #: 2407-801-0050-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Laminated shingle re -roof; Owens Corning Duration
CONSTRUCTION INFORMATION:
itiona worto e e orme un er
HVAC Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction. $ I `� p(
OWNER/LESSEE:
Name Tama Clasby
Address: 310 Rosewood Drive
are
Piping
Sprinklers
Left Side:
ailh apply:
Shutters
MGenerator
S Ft. of First Floor: _
Utilities; Sewer1:1 Septic
City: Ft. Pierce State: FL
Zip Code: 34947 Fax:
Phone No. (772) 971-2498
E -Mail:
Fill in fee simple Title Halder on next page (if different
from the owner listed above)
CONTRACTOR:
Name: Francis Buchanan
Lot No. 21 & 22
Block No. 40
oWindows/Doors
0 Roof Roof pitch
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. 800-379-0122
E -Mail: accounting@pdrhelps.com
State or County License: CCCO56685
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIENLOO
DESIGNER/ENGINEER: _ Not A cable
Name:
Address:
City: State:
Zip: Phone
INFORMATION:
Ll
SIMPLE TITLE HO R: _ Not Applicable
me:
hone:
OWNOR AFFIDVIT: Application is hereby m
I certinstallation has No
prior to thgg
MORTGAGE COMPANY: Not A le
Name.
Address
City: State:
Zip: Phone -
BONDING COMP ,Not Applicable
Name:
Address:
City:
Zip: Phone:
:o obtain a permit to do the work and installation as indicated.
nce of a permit.
St.ie County makes no representation that is granting a mit will authorize the permit holder to build the subject structure
wh 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 your Notice of Commencement.
— 4 &,/_�
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLOR11DIA
COUNTY OF
The f rgoing instru ent was acknowledged me
this day of 20-11
by
Name of peaking statement
rso
Personally Known OR Produced Identification
Type of Identification
Produced
v Nola Public Sta of R i
(Signat a No P Y' Sirat9'OO 8MUGG 179975
xPeres 01128 0,2
Commission o.l� 1 a
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
COMPLETED
Rev. 8/2/17
_&-f 11_ -
Signature of Contractor/License Holder
STATE OF FLORI A
COUNTY OF
The f5rgoing instrument vias acknowledgebefore me
this day of 201 by
Name of person aking statement
Personally Known OR Produced Identification
Type of Identification
Produced
y Ptiblic State 07 r,
(Signat e o e��d;YP - t rill Zaso
My CommissionGG 179975
Comm Norw� 'TsTsn01128/2022
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE 1!# 4426042 OR BOOK 4122 PAGE 1171, Recorded 04/19/2018 12:51:25 PM
Permit No,
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax 1D No. 2407-801-0050-100-9
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement,
Legal Description of property and address if available SANDALWOOD ESTATES SID 6LK D LOTS 21 AND 22 (0.75 AC) (OR 957.852- Y2&2.25rr7)
310 Rosewood Dr Fort Pierce, FL 34947
General description of improvements Re -roof
Ownerilessee Tama Ciasby
Address 310 Rosewood Dr Fort Pierce, FL 34947
lutcrest in property: owner
Fee Simple Title holder (if other than owner) N/A
Address
Contractor Buchanan Services, LLC
Phone# 840-379-0722
Address 3300 SW 11th Streel Deerfield Beach, FL 33442
Fax # 772-324-8090
Surety NIA
Phone #
Address
Fax #
Amount of Bond WA
Lender NIA
Phone #
Address
Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues:
Name NIA
Phone #
Address
Fax #
In addition to himself, owner designates
Phone #
Fax #
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified- WARNING TO OWNER:
ANY PAYMENTS MADE HY THE OWNER AFTER TILE [EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TRE FIRST INSPECr1ON. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
4wner/Lesree, or Owner's or Lesseer
's Authoed O� rlDirettorlPArtnerlManager/ Sigiratare
I _ SlgnatorY'sTitre+Oftice
State of Florida, County of JT +t..f..1 .sL
Acknowledged before me this day of . ,[ 20 L, by q:
who is personall known to me or who has produced
as id t 'fication.
Sigp ota
Type or Print Na of Notary r
1ge kU*ubkc Slate of Flonua
Titl . r Pul £ Commission Number { Kelly 2aso
d� E r IM& 01l 2W2 GG t79975
of � Yarm of r2DrZflz2